Medical Case Manager
1 day ago
CalOptima Health is seeking a highly motivated and experienced Medical Case Manager to join our team. As a key member of our Case Management department, you will play a critical role in providing ongoing case management services to our members.
Key Responsibilities- Assess member needs using standardized health needs assessments and develop comprehensive care plans to promote quality and cost-effective outcomes.
- Facilitate communication and coordination among healthcare team members, members, and their families to ensure seamless care delivery.
- Collaborate with interdisciplinary teams to identify and address member needs, and develop strategies to improve health outcomes.
- Provide regular outreach to assigned members and evaluate the quality of service provided.
- Coordinate care and services with members, their families, and other providers, including community supports and Long-Term Services and Supports (LTSS).
- Current, unrestricted Registered Nurse (RN) license to practice in the state of California.
- Associate degree in nursing (ADN) or related field, plus 3 years of clinical experience and/or managed care experience.
- Preferred qualifications include a Bachelor of Science in Nursing (BSN) degree, 2 years of pediatric experience, and a Certified Case Manager (CCM) certificate.
CalOptima Health is a public agency serving one in four residents in Orange County. Our mission is to provide high-quality, member-focused care to our community. We are committed to diversity, equity, and inclusion, and strive to create a workplace environment that is inclusive, equitable, and welcoming.
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