RN Case Manager
Location: Los Angeles, CA
Schedule: Full Time / Hours between 8am & 5pm.
Pay: $50 - $65 - Depending on Experience
Job Type: Temporary Assignment
Job Summary:
Under general supervision by the supervisor, nursing, and oversight by the Clinic physicians, the nurse (RN) case manager/care coordination team leader has the responsibility to manage all clinic participants in the ambulatory setting.
Key Responsibilities:
- Responsible for ensuring coordination and completion of reassessments every 6 months 1:1 at the Center and/or Home for assigned caseload.
- Responsible for allocating in-home supportive caregiver hours based on the Nurse and the IDT Assessment. Activities of Daily Living and Instrumental Activities of Activities Living (ADL’s and IADL’s).
- Documents any activities encountered between the participant, families, caregivers, contracted providers, hospitals, SNF, and other facilities working together with clinic for the participant’s well-being.
Work Environment:
• Work is in a medical office environment, climate-controlled through central air conditioning.
Required Skills and Abilities:
• Excellent customer service skills and ability to resolve complex customer service issues and exercise conflict management.
. •Ability to read, write, and speak in a clear, accurate and professional manner; including active listening skills and understanding medical terminology. •
• Ability to complete basic math computations.
• Proficient in beginning/intermediate computer skills and typing. Excellent follow-through skills and attention to detail
. • Ability to work effectively with a diverse population/cultural differences.
• Ability to handle multiple tasks and meet deadlines.
• Ability to work in a fast-paced environment, drive change efforts, and adapt to change. • Knowledge of Managed Care concepts, PACE regulations, NCQA, JCAHO, and HEDIS standards.
• Knowledge of HIPAA Guidelines including the Protected Health Information (PHI) privacy requirements.
• Excellent health assessment skills relating to geriatrics.
• Knowledge of preventative measures for “at risk” participants. Ability to function as an effective member of the team.