Clinical Case Manager

7 days ago


Avalon, California, United States IMS People Full time
Job Title: Clinical Case Manager

Job Summary:

The Clinical Case Manager is a key member of our healthcare team, responsible for planning, organizing, and coordinating swing bed admissions and reviewing emergency department admissions and discharges. This role requires strong administrative and clerical skills, as well as the ability to work effectively in a fast-paced environment.

Responsibilities:

  • Perform financial assessments to determine patients' source of payment for in-patient stays.

  • Provide information to doctors' offices, families, and outside facilities in response to queries.

  • Coordinate case management, social services, utilization review, and discharge planning daily and on weekends as scheduled.

  • Identify and coordinate swing admissions, verifying admission requirements are met before transfer.

  • Review ED admissions/discharges and contact ED patients to coordinate follow-up visits with PCP or assist with transfers to another facility if needed.

  • Develop and maintain relationships with specialty offices to aid in transfers or collaboration of care.

  • Participate and collaborate with the interdisciplinary team and attend UR meetings.

  • Review patient charts when a request for counseling is received.

  • Assess need for intervention and/or community resources.

Requirements:

  • Three to five years of experience in clinical nursing.

  • One to two years' experience in case management or related field preferred.

  • Current licensure to practice in the state of California.

  • Bachelor's degree in nursing highly preferred.

  • BLS required, ACLS preferred.

Benefits:

  • Competitive salary.

  • Assistance with finding housing on Catalina Island.

  • Boat travel stipend.

  • BCBS PPO health insurance.

  • Dental.

  • Vision.

  • EAP.

  • HSA.

  • 403b retirement.

  • Employer-paid 15K life insurance.

  • Short and long-term disability.

  • Critical illness, cancer coverage.

  • Vacation and paid holidays for all Full-Time positions.



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