2 Case Manager Nurse jobs

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.

Are you a driven Occupational Therapist seeking an amazing opportunity that offers both professional fulfillment and a gorgeous location? Then look no further. ICON Medical Network is seeking passionate, driven individuals for our esteemed medical clients throughout the country. One such client in California needs an Occupational Therapist to help them in their mission of providing quality patient care. If you think that person could be you, read on for more details!   ESSENTIAL FUNCTIONS A successful Occupational Therapist at this facility does the following: Directs and supervises the work of assistants, rehab aides and students as applicable with State and Federal guidelines. Develops treatment plan and provides treatment, consistent with benefit and reimbursement level, to assure best functional outcome for patient. Follows all organizational and facility safety procedures regarding one's personal protection and patient safety. Educates staff, other health care professionals and third party payer on the benefits and functional outcomes of intervention. Assures compliance with Occupational Therapy code of ethics and OT practice in the State of California. Appropriately and effectively completes documentation including evaluations, daily progress notes, summaries, or monthly reports as required. Participates in: care plan meetings, rehab meetings and family training, in order to communicate patient status during therapy. Attends continuing education seminars/workshops to keep abreast of new clinical skills, programs or techniques.  Provides in-service training sessions or other educational presentations to company, team or facility in order to enhance one's clinical and professional knowledge and skills. Maintains appropriate state licensure, certification and credentialing. Submits billing, payroll, and expense documentation in a timely manner. Makes appropriate referrals to other members of the rehab team. Conforms to all safety rules and use all appropriate safety equipment. Anything else as your supervisor and/or upper management may assign and/or require. CRITERIA Here's what you need to apply: Education Required:  Minimum of Bachelor of Science in Occupational Therapy.  Masters Degree in Occupational Therapy, preferred.   Licensure/Certification:  Licensure as required by State guidelines. Registered through NBCOT is optional. CPR Certification. Physical Agent Modalities Certification, preferred. Experience:  1 year Occupational Therapy experience, preferred. 1-2 years experience in a residential/assisted living or skilled nursing facility, preferred. New graduates considered. If you meet the criteria and think you're up to the task, apply now! We're thrilled to help you pursue this exciting opportunity.  Reference Number: 10773578 NursEmp Reference Number: NursEmp_ID_389146