(Archived) RN Case Manager

Position: RN Case Manager
Location: Signal Hill, CA
Shift: Full Time / Permanent / Direct Hire - Mon through Friday

Job Summary: The Case Manager has the responsibility to identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services. The goal of the case manager is to provide for quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the health care team.

Job Duties:

• Processes the case utilizing Paradigm’s outcome management model and tools
• Obtains written authorization for case management services as well as release of information
• Assesses 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
• Develops a plan of care with Paradigm’s model through interdisciplinary collaboration, which identifies realistic short- and long-term goals
• Identifies, secures, and coordinates the services and resources to implement the plan
• Monitors services being provided for continued appropriateness and reports to Paradigm and insurance carrier
• Evaluates the client’s progress, the plan, and the appropriateness of the services provided, with modifications as necessary
• Provides ongoing instruction to the client and family regarding the injury/dis-ease process, treatment options, and present care
• Promotes the client’s/family’s self-advocacy skills to achieve maximum self-sufficiency
• Has knowledge of the benefit package as well as all available funding sources and systems of care and coordinates with the payer for authorization of payment
• Provides for in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas
• Demonstrates effective, accurate, and timely verbal and written communication in all work situations
• Identifies and discloses all situations which might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client
• Frequently requires travel to patient appointments.
• Performs other related duties as assigned in accordance with the necessary job function

Requirements:

• Current California RN license: required
• Associate's Degree or higher in Nursing, Healthcare Administration or related field: required - Bachelor's Degree: preferred
• 2 years or more of related experience and/or training or equivalent combination of education and experience: required in the following fields: worker's comp catastrophic cases/traumatic cases, Specialty Case Management,. Nuero or ER unit experience, Complex Case Management plan at a hospital or other related.
• 2 years minimum of Case Management: required
• Own vehicle available to visit clients: required
• Valid driver’s license: required
• Valid automobile liability insurance: required
• CCM or equivalent certification: preferred - Required to obtain in 2-3 years.
• Knowledge of database software, internet software, and Microsoft word processing software

For immediate consideration please create a profile and submit your resume through our applicant tracking system. Applications with attached resumes will be given first consideration. Visit us online at [Register to View] to learn more about our company and to view additional openings in your area.

About Us: All Medical Personnel is a national leader in healthcare staffing and recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our team of seasoned recruiters are experienced in their ability to recruit, screen and place medical professionals for all types of healthcare settings.