Outpatient Case Manager
1 month ago
The Outpatient Case Manager is a key member of our team, responsible for assessing, treating, and coordinating care for high-risk members. This role requires strong clinical skills, excellent communication, and a passion for delivering exceptional patient care.
Key Responsibilities- Conduct comprehensive assessments of high-risk members to identify their needs and develop individualized care plans.
- Collaborate with physicians, healthcare providers, and other stakeholders to ensure seamless care coordination and effective communication.
- Develop and implement plans of care that address the member's medical, environmental, and psychosocial needs.
- Monitor and evaluate the effectiveness of care plans, making adjustments as needed to ensure optimal outcomes.
- Communicate effectively with members, families, and healthcare providers to ensure that all parties are informed and engaged in the care process.
- Identify and address psychosocial needs of members and families, facilitating consultations with social workers and other specialists as needed.
- Participate in interdisciplinary case rounds to ensure that all members of the care team are informed and aligned in their approach to care.
- Graduate from an accredited Registered Nursing Program or Licensed Vocational Nursing Program.
- Current CA RN or LVN license, current CPR certification, and valid CA Driver's license.
- 3 years acute care or case management experience preferred.
- 2-3 years of utilization or HMO experience preferred.
- Typing 40 words per minute with accuracy.
- Knowledge of computers, faxes, printers, and all other office equipment.
- Knowledgeable in MS Office Programs (i.e., Word, Excel, Outlook, Access, and PowerPoint).
Regal Medical Group offers a comprehensive benefits package, including employer-paid medical, pharmacy, and dental insurance, vision insurance, flexible spending account, employer-paid life insurance, employee assistance program, behavioral health services, 401(k) retirement savings plan, income protection insurance, tuition reimbursement, license renewal CEU cost reimbursement program, business-casual working environment, sick days, paid holidays, and mileage reimbursement.
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