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Northridge Outpatient Case Manager (RN or LVN)
Ref No.: 16-11046
Category: Permanent Placement
Location: Northridge, California
 
Outpatient Case Manager, RN or LVN

Job Summary:
 
  • Responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation of identified High Risk patients.
  • Assess and develop a care plan in collaboration with the admitting, attending and consulting physician and other health care practitioners.
  • Effectively manage patients on an outpatient basis to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients’ medical, environmental and psychosocial needs are met over the continuum of care.
  • Demonstrates the ability to formulate an appropriate outpatient care plan, based on a telephonic assessment of patients’ needs and symptoms which addresses all key symptoms in order to effectively manage the patient on an outpatient basis.
  • Documents patient assessment and reassessment, patient care plans, and other pertinent information completed in the patient’s medical record in accordance with nursing standards and policies.
  • Receives and reviews physician’s orders; documents completion. Consults with other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
  • Responsible for the coordination of post-discharge clinic appointments, medication reconciliation, ancillary services (DME, Home Health, etc) and PCP and specialist visits.
  • Responsible for identifying patients that are appropriate for hospice conversion or palliative care.
  • Interacts professionally with patient/family/physicians and involves patient/family/physicians in formation of the plan of care. Coordinates patient/family/physician conferences as necessary.
  • Identifies and addresses psychosocial needs of the patients and family and facilitates consultations with social worker, as necessary.
  • Functions as liaison between administration, patients, physicians and other healthcare providers.
  • Ability to collaborate and communicate with all members of the healthcare team (concurrent review, pre-authorization, PCP/SPC, Social Services) to coordinate the continuum of care of developing plans for management of each case.
  • Identifies non-compliant members eligible for healthplan disenrollment
  • Identifies drivers of hospital admissions
  • Identifies community resources to address patients’ needs.
  • Participates in the efficient, effective and responsible use of resources such as medical supplies and equipment.
  • Demonstrates the ability to follow through with requests, share critical information, and get back to individuals in a timely manner.
  • Communicates appropriately and clearly to management, co-workers, and physicians.
 
 
Qualifications:
 
  • Valid State Licensed/LVN or RN
  • Recent Case Management experience in Managed Care setting
  • Proficiency in operating computers applications, excellent interpersonal skills, verbal and written communications skills.

Compensation:

Comprehensive Benefits and Competitive Salary