Outpatient Case Management Supervisor

2 weeks ago


Orange, California, United States Prospect Medical Holdings Full time
Position Overview:

The Outpatient Case Management Supervisor plays a pivotal role in overseeing the coordination of patient care among healthcare professionals, community resources, and facilities.

Key Responsibilities:
  • Collaborate with physicians to formulate comprehensive care and discharge plans.
  • Monitor clinical activities and recommend alternative care levels as necessary.
  • Identify cost-effective care protocols and establish guidelines for patient management.

With a network of approximately 9,000 physicians serving 260,000 members, Prospect Medical Holdings stands out as a leader in innovative healthcare solutions across California, Texas, and Rhode Island.

Our extensive range of services includes primary care, specialty physician services, acute care hospitals, skilled nursing facilities, and behavioral health services.

Each of our Independent Physician Associations (IPAs) and networks is dedicated to utilizing advanced diagnostic and treatment tools, ensuring our members have convenient access to state-of-the-art healthcare.

For over 25 years, Prospect Medical has been committed to supporting independent physicians through collaborative risk arrangements, working closely with health plans, facilities, and healthcare providers to enhance patient care.

We are dedicated to delivering quality healthcare services that provide our patients with highly coordinated, personalized care, ultimately helping them lead healthier lives.

Qualifications:
  • A minimum of three (3) years of experience in an acute hospital environment.
  • Expertise in areas such as Healthcare Management, Quality Improvement, Utilization Review, and Discharge Planning.
  • Graduation from an Accredited Professional School of Nursing.
  • Current RN license is required; American Heart Association (BLS) certification is preferred.

The role involves facilitating and coordinating non-high-risk discharges and addressing planning issues, with a focus on identifying age-related concerns that may necessitate intervention.

Utilizing an interdisciplinary approach, the supervisor will develop appropriate plans and goals while assisting in determining the most suitable care settings for patients.



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