Clinical Case Management Nurse

4 weeks ago

San Fernando, California, United States Medix™ Full time

Position Overview

As a vital member of the Medix™ team, the Case Management Nurse will oversee daily operations and ensure the effective management of patient care plans. This role is essential in facilitating quality healthcare delivery and enhancing patient outcomes.

Location: Chatsworth

Schedule: 8:00 A.M. - 5:00 P.M.

Compensation: $50 - $55 per hour with Full Benefits

Key Qualifications

  • Active California Registered Nurse License
  • Minimum of 5 years of experience in Case Management, with a preference for Managed Care exposure
  • At least 2 years of supervisory experience
  • 2-5 years of experience in a Managed Care environment
  • Proficient in Medicare Member Case Management

Core Responsibilities

  • Maintain and manage the Master Log for daily staff assignments
  • Ensure RN sign-off on all care plans completed from the previous day
  • Delegate completed care plans to Case Management Coordinators for distribution

Biweekly Responsibilities

  • Process payroll for the department

Monthly Responsibilities

  • Compile Health Plan Monthly Reports
  • Conduct Health Plan Monthly Meetings
  • Facilitate Team Meetings
  • Perform Internal Department Self Audits

Quarterly Responsibilities

  • Prepare Health Plan Quarterly Reports

Annual Responsibilities

  • Complete staff performance evaluations

Additional Duties

  • Participate in Health Plan Webinars
  • Engage in Health Plan Audits
  • Maintain departmental tutorials, policies, and procedures
  • Contribute to the development of new policies and procedures
  • Involve in strategic planning initiatives
  • Support various activities within the Case Management Department
  • Provide coverage for the completion of ICPs and ICTs as needed

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