Job Description

The Outpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members.  

The Outpatient Case Manager will assess and develop a care plan in collaboration with the admitting, attending and consulting physician, the member and other health care practitioners.  

The goal of the Outpatient Care Manager is to effectively manage members on an outpatient basis to assure the appropriate level-of-care is provided, to prevent in patient admission and re-admissions, and ensure that the members’ medical, environmental, and psychosocial needs are met over the continuum of care.

Qualifications

• Graduate from an accredited Registered Nursing Program or Licensed Vocational Nursing Program.
• Current CA RN, or LVN license, current CPR certification.
• 3 years acute care or case management experience preferred.
• 2-3 years of utilization or HMO experience preferred.
• Typing 40 words per minutes with accuracy.
• Must have valid CA DL and provide proof of vehicle insurance.
• Knowledge of computers, faxes, printers and all other office equipment.
• Knowledgeable in MS Office Programs (i.e., Word, Excel, Outlook, Access and PowerPoint)
• Optional on call duties as assigned.

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