- Develop, assess and adjust, as necessary, the care plan and promote desired outcome
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
- Actively participate in integrated team care management rounds
- Identify related risk management quality concerns and report these scenarios to the appropriate resources
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
-
Care Manager
1 day ago
College Community Services Anaheim, United StatesPathways is seeking an innovative and purpose driven individual to join our team as a **Case Manager** Bilingual preferred for our Anaheim Adult Recovery Center. · **Salary 22-24hr ** Full Benefits** · **Anaheim Adult Recovery Center**: · provides recovery oriented services for M ...
-
Nurse Care Manager
1 day ago
Children's Hospital Los Angeles Los Angeles, United StatesLocation/Org Data : Introduction: · **NATIONAL LEADERS IN PEDIATRIC CARE** · Ranked among the top 10 pediatric hospitals in the nation, Children's Hospital Los Angeles (CHLA) provides the best care for kids in California. · Here world-class experts in medicine, education and rese ...
-
Care Manager, Bilingual
12 hours ago
St. Barnabas Senior Services Los Angeles, United States**The Organization** · **Position Overview** · Works under the supervision and direction of the Care Management Director to assess homebound clients and other seniors for Care Management services. Provides services to walk-in clients as needed and coordinates in-home service refe ...
-
Operations Manager Wound Care
1 day ago
Dr. MobiCare Beverly Hills, United States**Job Summary** · We are hiring a Operations Manager - Wound Care with experience in the operations, management and strategic growth of the Wound Care Program. The Operations Manager works collaboratively with the clinical, leadership and wound care team to provide consistent, qu ...
-
Odr Care Manager Specialist
1 day ago
Volunteers of America Los Angeles Compton, United StatesAbout Us: · **VOALA** · **_Helping Our Most Vulnerable Change Their Life Stories_** · **PAY RATE**:$ $27.82 PER HOUR · **JOB SUMMARY AND PURPOSE** · The Care Manager (Specialist) provides intensive care to program participants who have been, or are currently, involved with crimin ...
-
Team Manager Home Care
1 day ago
VITAS Healthcare Torrance, United StatesThe Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary team; assure continuity of care from admission to discharge or transfer to bereaveme ...
-
Lead Care Manager Inglewood
12 hours ago
Titanium Healthcare Los Angeles, United States**Who we are**: · We are a healthcare company that puts heart and compassion above all else. Millions of Americans just aren't getting the medical care they need. We're on a mission to change that. For patients that means exceptional support and better care. For providers it mean ...
-
Housing Care Manager Calaim
12 hours ago
St Johns Community Health Los Angeles, United States**Housing Care Manager CalAIM** · *** · The Housing Case Manager, as a member of the St. John's Community Supports Program (CS) team, works closely with Medi-Cal members (Anthem Blue Cross, Health Net, L.A. Care, and Molina Healthcare) who are enrolled in the CS Program to provid ...
-
L.A. Care Health Plan Los Angeles, United StatesCare Management Initiatives Program Manager II · **Job Category**:Clinical**Department**:Care Management**Location**:Los Angeles, CA, US, 90017**Position Type**:Full Time**Requisition ID**:11121**Salary Range**: $102, Min.) - $132, Mid.) - $163, Max.)- Established in 1997, L.A. C ...
-
RN Patient Care Manager Hospice
13 hours ago
Assured Home Health & Hospice Port Angeles, United States Full timeWe are hiring for a RNPatient Care Manager in Hospice . · At Assured Hospice of Port Angeles, a part of LHC Group, the RN Patient Care Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, thei ...
-
Assistant Manager Ambulatory Care Rn
12 hours ago
Kaiser Permanente Los Angeles, United States**Job Summary**: · Assists in managing a single department or multiple small departments providing ambulatory patient care services by supervising daily operations and patient care activities. Ensures staff provides high quality, accessible, cost effective care and patient focuse ...
-
Charge RN
5 days ago
Kaiser Woodland Hills, United States Full timeJob Summary: · Functions as a Lead of the healthcare team, coordinates departmental operations that ensure quality patient care in a safe, healing environment that is patient and family centered. Demonstrates responsibility and accountability for own professional practice. Has a ...
-
Specialty Unit Staff RN
13 hours ago
Kaiser Woodland Hills, United StatesJob Summary: · As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Str ...
-
Specialty Unit Staff RN
13 hours ago
Kaiser Woodland Hills, United StatesJob Summary: · As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and St ...
-
Sp Unit Staff RN
13 hours ago
Kaiser Woodland Hills, United StatesJob Summary: · As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and St ...
-
Um Nurse Lead Capped
1 day ago
MedPOINT Management Woodland Hills, United States**Summary**: · Provides leadership, support, training, and direction to the Inpatient UM teammates. The incumbent will use clinical judgment to provide utilization management review for inpatient during high volume situations. Provide high quality, cost-effective care to enable p ...
-
Case Manager I
12 hours ago
Tarzana Treatment Center Woodland Hills, United States**Position Title**:Case Manager I · **Department**:CCBHC · **Reports** **To**:As assigned by Program Director · Tarzana Treatment Centers (TTC), the leading provider of integrated care in Los Angeles County, is creating an opportunity for a Case Manager to be on the ground floor ...
-
Director, Facility Engineering
1 day ago
Kaiser Permanente Woodland Hills, United States**Job Summary**: · Provides strategic direction for preventative maintenance and repairs services for facility equipment (e.g., central plant operations, building management systems, safety systems). Establishes long-term goals for repairs and troubleshooting of facilities equipm ...
-
Accreditation, Regulatory, and Licensing
1 day ago
Kaiser Permanente Woodland Hills, United States**Job Summary**: · **Essential Responsibilities**: · - Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths ...
-
Instructor
12 hours ago
Tarzana Treatment Center Woodland Hills, United States**Position Title**: Instructor · **Department**: PDD/TTC College · **Reports To**: Chief Academic Officer (CAO) · Tarzana Treatment Centers College (TTCC) provides an academic and experiential setting for the study of behavioral and public health issues, including theories and mo ...
Care Manager I - Woodland Hills, United States - Centene Corporation
Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Hours: Monday-Friday 8am-5pm PST; occasional 9am-6pm & 10am-7pm shifts.
This is a remote position but must reside in California.
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
Licenses/Certifications: Current state's RN license.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
