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Case Manager
4 days ago
ApolloMed Monterey Park, United StatesAbout the Role · : · Astrana Health currently seeking a highly motivated Case Manager. This role will report to a Manager - Case Management and will enable us to continue to scale in the healthcare industry, focusing on supporting the APA ACO SNF population. · What You'll Do: T ...
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case manager
4 days ago
Universal Health Services Rosemead, United StatesBHC Alhambra Hospital Case Manager Per Diem Are you caring, compassionate and hardworking? Apply today to join our amazing team BHC Alhambra Hospital is a 103 bed facility established in 1924. BHC Alhambra Hospital is a private, fully accredited, Case Manager, Manager, Hospital, ...
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Case Manager, RN
1 week ago
Keck Medicine of USC Alhambra, United States Full time· In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the healt ...
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Case Manager
1 week ago
Astrana Health Monterey Park, United States· Job Title: Case Manager - LVN/RN · Department: Health Services - ICM · About the Role: · We are currently seeking a highly motivated Case Manager. This role will report to the Supervisor - Inpatient Case Management and enable us to continue to scale in the healthcare indus ...
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Case Manager
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Social Model Recovery Systems Pasadena, United StatesJob Description · Job DescriptionIn our Full Service Partnership located in Pasadena ), responsible for assessing, planning, implementing, monitoring, and evaluating actions required to meet the participant's health and human services needs. · Essential Duties and Responsibilitie ...
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Case Manager I
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HealthRIGHT 360 Pasadena, United States Full timeJob Overview · This is a union position.Pasadena Outpatient Behavioral Health Services provides comprehensive mental health services for our community ages birth through older age. Our continuum of care ranges from prevention and early intervention to intensive outpatient servic ...
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Case Manager
1 week ago
AHMC Healthcare San Gabriel, United StatesOverview: · Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management roun ...
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Case Manager Per Diem
16 hours ago
AHMC Healthcare San Gabriel, United StatesOverview: · Monitors the admissions, continued stay, and discharge of patients following pre-established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care. Conducts interdisciplinary care management rou ...
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Case Manager
4 weeks ago
Jada Staffing Inc. Alhambra, United StatesJada Systems Inc. is looking for an inhouse Office Analyst. · An Analyst shall perform but not be limited to the following duties: · Performs a wide variety of activities in: · **ESSENTIAL JOB FUNCTIONS** · - Review Housing Quality Inspections to ensure that deficiencies were cor ...
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Case Management Nurse
4 weeks ago
Marshall Healthcare Staffing Pasadena, CA, United StatesCompany Description · Marshall Healthcare Staffing is a Joint Commission accredited Health Care Staffing Agency based in Calabasas, CA specializing in Local and Travel contracts. Our years of industry experience and expertise will help you to find your desired contract or permane ...
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Case Manager
1 week ago
AGG Legal Staffing Los Angeles, United StatesJob description · Are you an experienced Case Manager, able to handle a Pre-litigation file from A-Z with little to no supervision? Do you believe passionately in stellar customer service and going "above and beyond" for your clients? Do you thrive in an environment where you get ...
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Case Manager
6 days ago
BHC Alhambra Hospital Rosemead, United States**Responsibilities**: · **BHC Alhambra Hospital** · Case Manager - _Per Diem_ · - Are you caring, compassionate and hardworking? _ · **BHC Alhambra Hospital** is a 103 bed facility established in 1924. BHC Alhambra Hospital is a private, fully accredited, full-service acute psych ...
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Case Manager
3 weeks ago
Kent Daniels and Associates, Inc. Los Angeles, United States Direct Hire· Position: Case Manager · Location: Century City, CA (Onsite) · Experience: At least five (5) years of experience · Type: Full-time; Direct Hire or Temp to Hire · Schedule: M-F 8am - 5pm or 9am - 6pm · Pay: $72-80k/yr depending on experience · Kent Daniels & Associates is seeki ...
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Case Manager
1 week ago
St. Joseph Center Los Angeles, United States Full timeCompany Description · Background · Since 1976, St. Joseph Center has been meeting the needs of low-income and homeless individuals and families in Venice, Santa Monica, Mar Vista, and surrounding communities. The Center is a 501(c)(3) nonprofit community organization that assist ...
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Case Manager
1 week ago
Gpac Los Angeles, United States Full timeOne of our clients is seeking a experienced Case Manager to work in their Pre-Litigation Personal Injury plaintiff's firm. If you are compassionate and detail oriented and enjoy being the point of contact for clients, this may be an opportunity for you. This is a very team orient ...
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Case Manager
2 weeks ago
Kent Daniels and Associates, Inc. Los Angeles, United States Direct HirePosition: Case Manager · Location: Century City, CA (Onsite) · Pay: $72,000 to 80,000 annually · Experience: At least 5 years of experience. · Type: Full-time; Direct Hire or Temp to Hire · Schedule: Monday - Friday, 8:00am - 5:00pm or 9:00am - 6:00pm · Kent Daniels & Associates ...
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Case Management
1 week ago
Blue Shield of California Los Angeles, United States Full timeYour Role · The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members' care including clinical nurse ...
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Case Manager
3 weeks ago
Downtown Women's Center Los Angeles, United StatesSummary · The Downtown Women's Center seeks a full-time Case Manager to provide outreach, housing placement, and individualized case management services to individual women and women with children who are homeless due to domestic violence. The Case Manager will be integral in d ...
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Case Manager
4 weeks ago
Dayan | Houman - The Accident Guys Los Angeles, United StatesThe Accident Guys are currently hiring multiple Case Managers to join our Personal Injury department in the Mid-Wilshire Area No experience necessary but Personal Injury knowledge preferred, as we prefer to train all of our staff to make sure our clients are getting the best serv ...
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Case Manager
3 weeks ago
Career Pathway Los Angeles, United StatesWe are looking to hire case managers that can assist us with opening claims, sending representation letters, setting the clients up with treatment, handling their property damage claims, and case manage a hand full of Personal Injury Cases. · Must be willing to learn and capable ...
LVN Case Manager - San Gabriel, California, United States - AHMC Healthcare
Description
Overview:
This position requires the full understanding and active participation in fulfilling the Mission of SGVMC. It is expected that the employee demonstrate behavior consistent with the Core Values. The employee shall support SGVMC's strategic plan and the goals and direction of the performance Improvement Plan (PIP).
Case Management is collaborative practices model including patients, nurses, social workers, physicians other practitioners, care givers and the community.
The Case management process encompasses excellent communication, both verbal and written and facilitates Case along a continuum through effect resource coordination.
The goal of the Case Manager is to advocate for and assist the patient in the achievement of optimal health, access to care and appropriately utilizing resources.
The LVN Case Manager utilizes the following processes to meet the patient's individual health Care needs:collects data, assists in planning, implementation, coordination, monitoring and evaluation of the plan of Care.
Responsibilities:
Discharge planning to occur with patient and family within two working days of admission and relay information to UR Staff.
Evaluates for appropriate level of Case utilizing Intensity of Service/Severity of Illness; InterQual criteria.
Communicate with Admitting Physician regarding appropriateness of level of Care as needed.
Complete concurrent review in Meditech daily on insurance, non-funded & MediCal patients, every other day for Medicare patients.
Meet with patient and family to discuss discharge plan.
Document initial evaluation and preliminary discharge plan in progress notes.
Provide clinical review to payors within 1 business day.
Arranges and documents post-hospital discharge needs such as SNF, ECF, LTAC, ARU, DME and home health. Prepares summarized clinical report on all assigned patients to present to weekly highcost/UR meeting.
Collaborates with staff nurse to address all discharge needs including medication education and discharge plans answering all questions before the patient leaves the hospital.
Discharge Planning, concur with Patient and family within two working days of admission and relay information to Case Manage or Social Worker whom need to evaluate information.
Qualifications:
Education/Training/Experience:
Minimum 1 year of case management or utilization review experience required.
Two years recent acute clinical experience preferred
ER experience is strongly preferred
Knowledgeable about legal principles of consent, healthcare proxies and advance medical directives
Knowledge of healthcare payor systems and benefits: HMO, PPO, Worker s Comp, Medicare guidelines and Medi-cal
Strong leadership ability, independent thinking and decision-making ability; analytical problem solving skills, sound judgment; excellent oral and written communication skills, must be able to function in a team environment
Proficient computer skills (MS Word, Excel, Outlook) 10. Excellent customer service skills required
Ability to multi-task and prioritize assignments
Ability to understand and react effectively in a high-paced environment
Bilingual is a plus
Licenses/Certifications
Current LVN License must be active and unrestricted for the State of California
Current BLS certification required
Case Management Certification is a plus