HealthCare Talent Los Angeles, CA, USA
Jan 30, 2019Part time
Job Summary: The Nurse Case Manager may provide daily care coordination, case management, coaching, consultation and intervention to patients with one or more chronic diseases. May also be responsible for identifying said population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and patient self-referral. This position may also provide case management to patients who are admitted to the hospital and those patients who may need to be enrolled in ambulatory case management. The case manager will be responsible for identifying (California Children Services) CCS cases, handle transfers, and retro reviews. Works as part of an interdisciplinary care team coordinating social work and mental health counseling, psycho-social support services, in-home support, legal services, skilled nursing, home health, etc. The Nurse Case Manager effectively collaborates with the hospitalist, the hospital nursing personnel, with members of the interdisciplinary care team and with the physician in the clinic. Skills and Abilities: 1. Excellent customer service skills and ability to resolve complex customer service issues and exercise conflict management. 2. Ability to read, write and speak in a clear, accurate and professional manner; includes active listening skills and understanding medical terminology. 3. Ability to complete basic/intermediate math computations and medical math conversions. 4. Proficient in beginning/intermediate computer skills and typing. 5. Excellent follow through skills, multi-tasking, prioritization and attention to detail. 6. Knowledge of the Case Management Process, Chronic Care Model and Patient-Centered Medical Home Model (PCMH). 7. Must be able to apply critical thinking skills and make sound judgment at all levels throughout the patient’s continuum of care and make necessary referrals on behalf of P/P/C (Patient/Provider/Caregiver). 8. Knowledge of regulatory requirement, health plan contracts, governmental benefits and community resources. Physical Requirements: Environmental Conditions Critical to Performance: 1. Works in an office environment, climate controlled through air conditioning. Education and Experience: 1. Graduation from an accredited nursing program. 2. Current valid License as a Registered Nurse through the California Board of Registered Nursing; Bachelor’s degree in social work, nursing, or another health or human services field with the appropriate licensure preferred. 3. Experience in and willingness to be part of multi-disciplinary team. 4. Experience with physically or mentally impaired adults and/or geriatric population. 5. Three years experience in public health nursing, acute care, case management and/or in-home health care required; minimum of 2 years of managed care experience in case management with focus in inpatient and/or outpatient ambulatory care preferred. 6. Bilingual in English and Spanish preferred.