Catastrophic Nurse Case Manager - Signal Hill, CA

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profile Job Location:

Signal Hill, CA - USA

profile Monthly Salary: Not Disclosed
Posted on: 30+ days ago
Vacancies: 1 Vacancy

Job Summary

Catastrophic Nurse Case Manager - Full-time

Location:Signal Hill CA

Required Qualifications:

  • Registered nurse

  • BSN preferred

  • CCM or equivalent certification

  • Three years or more of related experience and/or training or an equivalent combination of education and experience

Job Description

  • Identify assess plan coordinate implement monitor and evaluate options and services for individuals requiring case management services

  • Provide quality cost-effective outcomes for the client through collaboration and communication with the client the family the physician and other members of the healthcare team

  • Process the case utilizing the clients outcome management model and tools

  • Obtain written authorization for case management services as well as release of information

  • Assess the client/family to identify their strengths and resources; problems; psychosocial financial and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs

  • Develop a plan of care with clients model through interdisciplinary collaboration which identifies realistic short- and long-term goals

  • Identify secure and coordinate the services and resources to implement the plan

  • Monitor services being provided for continued appropriateness and report to client and insurance carrier

  • Evaluate the clients progress the plan and the appropriateness of the services provided with modifications as necessary

  • Provide ongoing instruction to the client and family regarding the injury/disease process treatment options and present care

  • Promote the clients/familys self-advocacy skills to achieve maximum self-sufficiency

  • Have knowledge of the benefit package as well as all available funding sources and systems of care and coordinate with the payer for authorization of payment

  • Provide in-depth reporting of outcomes encompassing clinical functional financial and customer satisfaction areas

  • Demonstrate effective accurate and timely verbal and written communication in all work situations

  • Identify and disclose all situations that might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client

  • Frequently travel to patient appointments

  • Perform other related duties as assigned in accordance with the necessary job function

Benefits:

  • Tremendous Career Growth Opportunities!

  • Senior management and leadership are very well respected by the team!

  • Great work environment with a family-like work culture!

  • Medical Dental and Vision 401k Tuition Assistance Disability


Required Experience:

Manager

Catastrophic Nurse Case Manager - Full-timeLocation:Signal Hill CARequired Qualifications:Registered nurseBSN preferredCCM or equivalent certificationThree years or more of related experience and/or training or an equivalent combination of education and experienceJob DescriptionIdentify assess plan ...
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Key Skills

  • Project Portfolio Management
  • Motivational Interviewing
  • HIPAA
  • Computer Skills
  • Intake Experience
  • Lean Six Sigma
  • Conflict Management
  • Case Management
  • Team Management
  • Program Development
  • Social Work
  • Addiction Counseling