Chronic Care Manager, Pop Health, Value Based Care
The Princess Margaret Hospital
full-time
Posted on:
Location Type: Hybrid
Location: Los Angeles • California • United States
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Salary
💰 $120,000 - $165,000 per year
Job Level
About the role
- The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning.
- Prioritizes, plans, organizes, and implements timeliness of care.
- Collaborates with the interdisciplinary healthcare team to promote and coordinate the delivery of safe and cost-effective patient care, transition of care and discharge planning.
- Advocates for patient self-determination and choice.
- Practices clinical competence in evaluations and planning with awareness and respect for patient and family diversity.
- Monitors and coordinates resource utilization throughout the continuum of care and evaluates timeliness of services.
- Performs admission, continued stay and discharge review utilizing medical staff-approved decision support criteria.
Requirements
- One year of case management experience or 1 year nursing leadership experience
- Current Licensure as a Registered Nurse in the State of California
- Computer/EMR Proficiency and Literacy
- Knowledge of CMS, Medicare, Medi-Cal and Managed Care reimbursement
- Familiarity of Joint Commission, CMS, CDPH requirements
- Excellent written and verbal communication skills in English
- Ability to establish and maintain effective working relationships across the organization
- Ability to facilitate and lead interdisciplinary rounds
- Bachelor of Science in Nursing (Preferred)
- Certified Case Manager (CCM) (Preferred)
- Familiarity with AllScripts Care Management (Preferred)
- Proficiency with Milliman Care Guidelines or Interqual (Preferred)
- Bilingual skills to communicate effectively with patients and families (Preferred)
Benefits
- Tuition Reimbursement: $3,000
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical assessmentutilization reviewresource managementdischarge planningcase management experiencenursing leadership experienceEMR proficiencyMilliman Care GuidelinesInterqual
Soft Skills
communication skillsinterpersonal skillsorganizational skillsleadership skillsadvocacycollaborationplanningevaluationrespect for diversity
Certifications
Registered NurseCertified Case Manager