Registered Nurse - Case Manager

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Company: TotalMed

Location: Orange, CA 92867

Description:

Registered Nurse-Case Manager

Job ID #1815751

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About this Role

Case Management is an advanced specialty collaborative practice responsible for providing ongoing case management services for members. The Medical Case Manager will facilitate communication and coordination among all participants of the health care team and members to ensure the services provided promote quality and cost-effective outcomes for all members. The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs.

Job details

$44.00 / hour

Orange, California

New

Profession: Registered Nurse

Facility Type: ???

Specialty: Case Manager

Division: MedFi

Start Date: 05/26/2025

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Responsibilities

Actively manage and direct use of resources to achieve the highest quality outcomes and patient experiences

Coordinate and advocate for the patient during hospitalization, from admission to post-discharge

Manage information/communication to effectively oversee healthcare delivery and facilitate interdisciplinary plan-of-care decisions

Monitor the discharge plan implementation while identifying/addressing the patient's psychosocial and support-systems issues

Oversee the coordination of services and manage issues in the areas of admission/discharge, team conference/interdisciplinary plan-of-care communication, patient/family education, payor relations and total fiscal management

Ensure that cost-effective treatment is provided and patient's-rights regulations are followed

Required Qualifications

- Associate degree in nursing (ADN) or related field required

- 3 years of clinical experience and/or managed care experience required - Current, unrestricted Registered Nurse (RN) license to practice in the state of California required.

- Current, unrestricted Registered Nurse (RN) license to practice in the state of California required.

- Bachelor of Science in Nursing (BSN) degree or related field preferred

- Case Management Certification (CCM) preferred

- Bilingual in English and Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese preferred

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