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RN Case Manager

Location : Los Angeles, CA
Job Type : Temp/Contract
Reference Code : PACE Lynwood
Required Years of Experience : 1 Year
Required Education : High school Diploma or GED
Job Industry : Healthcare - Health Services

Job Description :

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.


Required Qualifications :
Specifications / Experience:



• Current valid License as a Registered Nurse through the California Board of Registered Nursing. 

• A minimum of one year experience in Geriatric Nursing is required.

  • A minimum of one year experience is preferred in a managed care setting, preferably in utilization or case management in an ambulatory or inpatient setting. 

 • Current valid BLS/First Aid Certificate required. Bilingual English and Spanish are preferred.
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