GardenGroveRecruiter
the smart solution for Garden Grove jobs

RN or LMSW - Case Management Specialist (970218)

Company: Veritas Global Consulting Group, LLC
Location: Garden Grove
Posted on: June 13, 2018

Job Description:

JOB CODE: (970218) RN or LMSW/Case Management Specialist LOCATION: Orange County (CA) Under the direction of the Supervisor or Manager of Case Management, the Specialist Case Manager RN provides direction, identifies health and psychosocial issues of a selected member population and assesses, plans, implements, coordinators, monitors, and evaluates services and outcomes to ensure maximized health of the member. Assumes a leadership role within the interdisciplinary care team to achieve optimal clinical and resource outcomes. Essential Duties and Responsibilities (include the following. Others may be assigned.) Identifies issues relating to members' physical and mental well-being that affects health status and works in collaboration with both the member and provider to determine appropriate care for case management services. In collaboration with the member and PCP completes a comprehensive assessment and develops a care plan assessing short-term and long-term needs. Acts as a leader during interdisciplinary care team conferences to achieve optimal clinical and resource outcomes. Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status. Assess the options for care including use of benefits and community resources to update the care plan. Maintains and documents initial assessment; designs a care plan that is attainable and in the appropriate business application program. Acts as a liaison between physician and member to alleviate potential issues that can interrupt care Maintains case load by identifying cases that are no longer high in intensity or services and closes them timely and appropriately. Schedules or facilitates scheduling appointments and follow-up services; requests consultation and diagnostic reports from network specialists; contacts members to remind them about upcoming appointments and/or missed appointments. Maintains and promotes confidentiality of patient information and adheres to all HIPAA regulations Participates in monthly case studies in the Medical Services Department Other duties as assigned. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Experience in CM or other managed care environment. Knowledge of disease specific states, clinical and community resources. Strong critical thinking and problem solving skills. Ability to network, advocate, communicate assertively with all customers. Work involving high volume and strict timeframes. Excellent communication skills. Exceptional organizational skills especially while multitasking. Ability to drive multiple projects a plus. Ability to work in fast paced environment. Works well independently as well as part of a team. Strong commitment to help others. Computer literate; must have experience working with a Medical Management platform. MS Word, Excel, Outlook a plus Minimum Education: LMSW or RN Licensure must be current and unrestricted i the appropriate jurisdiction Preferred Education: BA or BS in Nursing, MSW in Social Work Minimum Experience: 2+ years of experience in a clinical acute care position - preferably in Home Health, Physician's Office, or Public Health Preferred Experience: 1-3 years of experience in disease management, case management, or formal patient education experience. CCM Certification Ability to travel - approximately 5% travel may be required Work environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to work in sitting position, use computer, and answer telephone The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the position. For consideration, please send us your CV/resume in MS Word format only. If there is a viable match, one of our consultants will contact you within 24-48 hours. To ensure that our response to your application reaches your INBOX (not your junk or spam folder), please add our email address to your Safe Senders list or to your Address Book.

Keywords: Veritas Global Consulting Group, LLC, Garden Grove, RN or LMSW - Case Management Specialist (970218), Healthcare, Garden Grove, California

Click here to apply!

Didn't find what you're looking for? Search again!


I'm looking for
in category
within


Other Healthcare Jobs


Registered Nurse
Description: We are an energetic growing medical clinic dedicated to male hormone replacement therapy and vitamin / mineral supplementation treatment. We are looking for a part time or full time California licensed (more...)
Company: Androgenix Health, Inc.
Location: Glendale
Posted on: 06/18/2018

Emergency Room Travel Nurse RN
Description: Next Travel Nursing--is seeking an experienced--Emergency Room RN for a travel nursing assignment in Los Angeles,--CA.
Company: Next Travel Nursing
Location: Los Angeles
Posted on: 06/18/2018

Locum Tenens Urgent Care Physician (Alhambra,CA)
Description: Locum Tenens Urgent Care Physician Alhambra,CA Urgent care facility in California is seeking a locum tenens physician for a 3-6 month assignment.
Company: LocumTenens.com
Location: Alhambra
Posted on: 06/19/2018


Locum Tenens Adult Psychiatrist (North Hollywood,CA)
Description: Locum Tenens Adult Psychiatrist North Hollywood,CA Part-time locum tenens psychiatrist needed for
Company: LocumTenens.com
Location: North Hollywood
Posted on: 06/19/2018

Locum Tenens Adult Psychiatrist (Arcadia,CA)
Description: Locum Tenens Adult Psychiatrist Arcadia,CA Part-time locum tenens psychiatrist needed for outpatient
Company: LocumTenens.com
Location: Arcadia
Posted on: 06/19/2018

Locum Tenens Family Practice or Internal Medicine Physician (Paramount
Description: Locum Tenens Family Practice or Internal Medicine Physician Paramount A facility in California is seeking a board certified family practice or
Company: LocumTenens.com
Location: Paramount
Posted on: 06/18/2018

Physician / other / california / locum tenens / mandarin translator job
Description: Position: Mandarin
Company: All Medical Personnel Locum Tenens
Location: Los Angeles
Posted on: 06/18/2018

PT - Physical Therapist in Chatsworth, CA
Description: General Practice opening in Chatsworth, California. This and other
Company: Ardor Health Solutions
Location: Chatsworth
Posted on: 06/19/2018

Home Health Nurse - Travel - (HH RN)
Description: 18164954 Job Description Requirements br Home Health Nurse - HH RN br StartDate: 07/16/2018Available Shifts: 8 D Pay Rate: 45.00 - 48.00 br br Home Health RN needed ASAP for 13 weeks in West (more...)
Company: American Mobile Healthcare
Location: Los Angeles
Posted on: 06/18/2018

Physical Therapist Travel Job in Downey, CA
Description: Provide expert therapy to patients with injuries and/or illnesses to help them improve movement, manage pain, and/or prevent the loss of mobility at state-of-the-art facilities across the U.S. Partner (more...)
Company: Jackson Therapy Partners
Location: Downey
Posted on: 06/19/2018

Log In or Create An Account

Username:
Password:
 

Forgot password?


Find us on Facebook

Find us on LinkedIn

Get the latest California jobs by following @recnetCA on Twitter!

Garden Grove RSS job feeds