Ambulatory Case Manager, RN FT Days
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Job Location:
Whittier, CA - USA
Monthly Salary:
USD 55 - 86
Posted on:
28-09-2025
Vacancies:
1 Vacancy
Job Summary
The Ambulatory Case Manager RN is responsible for providing comprehensive care coordination and case management services to members ensuring seamless transitions of care promoting health stabilization and reducing avoidable hospitalizations. The PHP Ambulatory Case Management team is responsible for High-Risk Case Management Complex Case Management (CCM) Special Needs Plan Case Management (SNP) and Care Coordination including Transitions of Care. This role requires strong knowledge of case management programs health plan benefits managed care principles and community resources. Will engage with members families healthcare providers and multidisciplinary teams to create and implement individualized care plans. Serves as a liaison between key stakeholders including members providers and health plans.
PIH Health is a nonprofit regional healthcare network that serves approximately 3.7 million residents in the Los Angeles County Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital PIH Health Good Samaritan Hospital PIH Health Whittier Hospital 35 outpatient medical office buildings a multispecialty medical (physician) group home healthcare services and hospice care as well as heart cancer digestive health orthopedics womens health urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices cutting-edge advancements quality of care and healthcare technology. For more information visit or follow us on Facebook Twitter or Instagram.
Required Skills
- Strong knowledge of case management principles care coordination and transition of care processes
- Understanding of managed care including risk-based contracts delegated health plans and compliance requirements
- Ability to work collaboratively with multidisciplinary teams patients and families
- Strong communication organizational and problem-solving skills
- Computer literate with ability to navigate multiple computer applications
Required Experience:
Manager
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
