Case Manager

18 hours ago


Sacramento, California, United States Hill Physicians Medical Group Full time
Job Summary

We are seeking a skilled Case Manager to join our team at Hill Physicians Medical Group. As a Case Manager, you will play a critical role in shaping the healthcare of the future by actively managing care that prevents disease, supports those with chronic conditions, and anticipates the needs of our members.

Key Responsibilities
  • Identify members appropriate for case management based on identification of health-related problems.
  • Assess members' physical and psychosocial needs/barriers.
  • Develop and implement the interventions needed to resolve barriers and coordinate care, allowing members to accomplish their goals.
  • Document all case management activities in the HPMG case management online system.
  • Utilize existing reports and systems to identify and monitor utilization resource patterns and facilitate needed care coordination in order to support Quality Improvement.
Requirements
  • Minimum of 3-5 years of experience required.
  • Minimum three years clinical nursing experience in an area such as medical surgical, critical care, home health or skilled nursing.
  • Two years of experience in case management, utilization management, discharge planning and or quality improvement in a managed care setting.
  • Experience with managed care delivery including IPA networks and Medicare.
  • Optimum organizational skills with ability to meet both expected and unexpected time frames.
  • Excellent verbal and written communication skills.
Preferred Qualifications
  • Certification in case management preferred.
  • Working knowledge of personal computers.
What We Offer

Hill Physicians Medical Group is an Equal Opportunity Employer. We offer a competitive salary range of $84,000 - $115,000 Annually and a comprehensive benefits package.



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