Case Manager, RN

4 weeks ago


Whittier, United States AHMC Healthcare Full time

Overview:

Under the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care.

Responsibilities:

Under the general supervision of the case management Director acts as a patient advocate/case manager to hospital clients. An autonomous role that coordinates, negotiates, procures services and resources for, and manages the care of complex patients to facilitate achievement of quality and cost efficient patient outcomes. Looks for opportunities to reduce cost while ensuring the highest quality of care is maintained. Applies review criteria to determine medical necessity for admission and continued stay. Provides clinically based case management, discharge planning, and care coordination to facilitate the delivery of cost-effective quality healthcare and assists in the identification of appropriate utilization of resources across the continuum of care. Works collaboratively with interdisciplinary staff internal and external to the organization. Participates in quality improvement and evaluation processes related to the management of patient care.

Qualifications:

Two years of Case Management experience in an acute care environment preferred. Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking. Knowledge of healthcare financing, community and organizational resources, patient care processes, and data analysis. Knowledge of utilization management as it relates to third-party payers. Experience with managed care preferred. Excellent verbal and written communication skills required. Demonstrates flexibility via an ability to adapt to changing priorities and regulations.

BSN or MSW preferred. Current California RN and BLS certification required.


  • Case Manager Entry

    2 weeks ago


    Whittier, United States Volunteers of America Los Angeles Full time

    About Us: **VOALA** **_Helping Our Most Vulnerable Change Their Life Stories_** **PAY RATE**: $20.51-$21.59 PER HOUR **JOB SUMMARY AND PURPOSE** Case Manager Entry provides entry level case management services to clients classified as low acuity, serving on a team that is the central point of contact to coordinate services and care for assigned clients....


  • Whittier, United States Illumination Foundation Full time

    “Every person deserves compassion, dignity, and the safety of a place to call home.” Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...

  • Housing Case Manager

    14 hours ago


    Whittier, United States Illumination Foundation Full time

    “Every person deserves compassion, dignity, and the safety of a place to call home.” Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...


  • Whittier, United States Las Encinas Hospital Full time

    Job DescriptionJob DescriptionWe are seeking a Therapist Case Manager to join our team! You will provide recovery-oriented rehabilitation services in group or individual settings.Responsibilities:Establish open lines of communication for individuals with mental or emotional issuesOffer assistance to individuals with substance abuse issuesProvide...


  • Whittier, United States Illumination Foundation Full time

    "Every person deserves compassion, dignity, and the safety of a place to call home." Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...

  • Housing Case Manager

    10 hours ago


    Whittier, United States Illumination Foundation Full time

    "Every person deserves compassion, dignity, and the safety of a place to call home." Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...


  • Whittier, United States Illumination Foundation Full time

    “Every person deserves compassion, dignity, and the safety of a place to call home.” Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary services in our recuperative care...


  • Whittier, United States Illumination Foundation Full time

    Job DescriptionJob Description“Every person deserves compassion, dignity, and the safety of a place to call home.”Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary...

  • Housing Case Manager

    15 hours ago


    Whittier, United States Illumination Foundation Full time

    Job DescriptionJob Description“Every person deserves compassion, dignity, and the safety of a place to call home.”Homelessness is the largest social and public health crisis in California. Illumination Foundation (IF) is a growing non-profit organization dedicated towards disrupting the cycle of homelessness by providing targeted, interdisciplinary...

  • Case Manager

    1 month ago


    Whittier, United States Ortega Counseling Center Full time

    Job DescriptionJob DescriptionOrtega Counseling Center seeks a full-time Vocational Counselor for our Whittier office. With over 20 years of combined experience, our commitment to injured workers aligns with our core values: positive attitude, willingness to learn, dependability, teamwork, and a customer-first approach. At OCC, our purpose is clear: helping...

  • Case Manager

    2 months ago


    Whittier, United States Ortega Counseling Center Full time

    Job DescriptionJob DescriptionBenefits:401(k) matchingBonus based on performanceHealth insuranceTraining & developmentOpportunity for advancementPaid time off Ortega Counseling Center seeks a full-time Vocational Counselor for our Whittier office. With over 20 years of combined experience, our commitment to injured workers aligns with our core values:...


  • Whittier, United States Salvation Army Full time

    Mission StatementThe Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination.Position SummaryThe Program Case Manager at...


  • Whittier, United States Salvation Army Full time

    Mission Statement The Salvation Army, an international movement, is an evangelical part of the universal Christian church. Its message is based on the Bible. Its ministry is motivated by the love of God. Its mission is to preach the gospel of Jesus Christ and to meet human needs in His name without discrimination. Position Summary The Program Case Manager at...


  • Whittier, United States PIH Health Full time

    The Care Management NurseEducatorworks with the Care Management Director to facilitate quality improvement initiatives in the practice and learning environment to assist with staff and department development. Is responsible for department quality metric reports to demonstrate effectiveness of programs and performance in accordance with regulatory standards...

  • Manager

    3 days ago


    Whittier, United States PIH Health Full time

    The Social Work Manager provides leadership for staff and accountability for the development of social services program assigned under Care Management operations. Oversight of these programs would include goals and objectives related to patient experience, personnel management, fiscal resources, performance improvement and interdepartmental...

  • Discharge Planner

    2 weeks ago


    Whittier, United States Martin Luther King Jr. Community Hospital Full time

    If you are interested please apply online and send your resume to MarisMartinez@mlkch.org POSITION SUMMARY Manages the discharge/transition process by working closely with the patient and/or family, and coordinating care with the multidisciplinary team: including physicians, nursing, and community based organizations, to ensure patient's adequate post-acute...

  • Discharge Planner

    14 hours ago


    Whittier, United States Martin Luther King Jr. Community Hospital Full time

    If you are interested please apply online and send your resume to MarisMartinez@mlkch.org POSITION SUMMARY Manages the discharge/transition process by working closely with the patient and/or family, and coordinating care with the multidisciplinary team: including physicians, nursing, and community based organizations, to ensure patient's adequate post-acute...

  • Discharge Planner

    2 weeks ago


    Whittier, United States Martin Luther King Jr. Community Hospital Full time

    If you are interested please apply online and send your resume to marismartinez@mlkch.org POSITION SUMMARY Manages the discharge/transition process by working closely with the patient and/or family, and coordinating care with the multidisciplinary team: including physicians, nursing, and community based organizations, to ensure patient's adequate...


  • WHITTIER, United States PIH Health Full time

    The LVN case transition coordinator provides discharge planning by collaboratively determining the level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. The LVN case transition coordinator...


  • Whittier, United States PIH Health Full time

    The LVN case transition coordinator provides discharge planning by collaboratively determining the level of care needs beyond acute care, providing decision support to patients and families and physicians, managing patient and family expectations, and ensuring a smooth transition to the next level of care and services. The LVN case transition coordinator...