U.M. Inpatient Case Manager (LVN) |
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- Location: Los Angeles, CA
- Category: Healthcare
- Posted: 610 days ago
Job Description:
CLIENT COMPANY OVERVIEW
Our client is a Managed Care Health Plan committed to providing health care that is medically excellent, ethically driven and delivered in a patient-centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and a cost-effective delivery of care.
POSITION SUMMARY
Responsible for assisting patients through the continuum of care in collaboration with the patient’s primary care physician and employing contracted ancillary service providers and community resources. Assures that services are provided at the lowest level of care needed to meet the patient’s medical needs while maintaining safety and quality.
QUALIFICATIONS / REQUIREMENTS
Candidate must be a licensed California registered nurse or vocational nurse. Minimum 3 years experience with acute inpatient nursing and 2 years working in a managed care environment & utilization or case management.
Knowledge of Medicare, Medi-Cal, DHS, MRMIB, DMHC and NCQA regulations. Ability to enter data into the computer and extract information from the database. Ability to assist the patient in the management of complex medical and social problems. Excellent communication skills when interacting with physicians, patients, and service providers. Must have California’s driver’s license with the ability to provide own transportation within Los Angeles County.
COMPENSATION & BENEFITS
Competitive compensation commensurate with experience.
Monday - Friday (days)
POSITION CLASSIFICATION
Full Time
Direct Hire
Our client is a Managed Care Health Plan committed to providing health care that is medically excellent, ethically driven and delivered in a patient-centered environment that recognizes the positive relationship between health education, a culture of wellness, an emphasis on prevention and a cost-effective delivery of care.
POSITION SUMMARY
Responsible for assisting patients through the continuum of care in collaboration with the patient’s primary care physician and employing contracted ancillary service providers and community resources. Assures that services are provided at the lowest level of care needed to meet the patient’s medical needs while maintaining safety and quality.
QUALIFICATIONS / REQUIREMENTS
Candidate must be a licensed California registered nurse or vocational nurse. Minimum 3 years experience with acute inpatient nursing and 2 years working in a managed care environment & utilization or case management.
Knowledge of Medicare, Medi-Cal, DHS, MRMIB, DMHC and NCQA regulations. Ability to enter data into the computer and extract information from the database. Ability to assist the patient in the management of complex medical and social problems. Excellent communication skills when interacting with physicians, patients, and service providers. Must have California’s driver’s license with the ability to provide own transportation within Los Angeles County.
COMPENSATION & BENEFITS
Competitive compensation commensurate with experience.
Monday - Friday (days)
POSITION CLASSIFICATION
Full Time
Direct Hire
About the Company:
COMPANY OVERVIEW
Through our contracted network of premier healthcare partners, MEDsearch provides both Executive Search and Contract employment opportunities within many of Southern California's leading healthcare organizations.
Identifying the right opportunity that allows you to achieve both your professional and personal goals is paramount. Whether it is a highly confidential or intricate search, you can trust in MEDsearch to provide you with the very best employment representation during your career exploration process.