RN/LVN Case Managers Needed

• Performs comprehensive, disease specific, clinical assessment of all identified cases which includes but is not limited to:

- Assessment of member’s physical, functional, social and psychological status.

- Assessment of member’s cultural and linguistic needs.

- Assessment of caregiver resources and available benefits.

• Development and implementation of a member specific care plan which includes problems, interventions and goals.
• Schedule follow-up to assess progress towards goals and identify barriers to meeting goals.
• Communication with member’s physicians, specialists, community agencies and vendors to ensure coordination of services.
• Follows protocol for documenting all case interventions.
• Prepare and maintain appropriate documentation of patient care and progress within the care plan.
• Act as an advocate in the client’s best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals.
• Develop policies, procedures, desktop procedures, assessments and referral templates to facilitate the implementation of and compliance with new case management programs or requirements.
• Develop processes for oversight and reporting in compliance with new case management programs and requirements.
• Other projects and duties as assigned.

• Graduate from an accredited Registered Nursing Program or Licensed Vocational Nursing Program with current California license.
• Two to five years clinical experience, managed care experience preferred.
• Knowledge of healthcare or managed care environments preferred.
• Utilize and access computer programs – both Microsoft Office applications and job-specific applications.

If you feel that you have the skills we require, please respond to this posting with your contact information and your resume in a Word document. We look forward to hearing from you today!

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