Catastrophic Nurse Case Manager - Signal Hill, CA

FutureRecruit

Signal Hill, CA

Catastrophic Nurse Case Manager - Full-time

Location: Signal Hill, CA

Required Qualifications:

Registered nurse
BSN preferred
CCM or equivalent certification
Three years or more of related experience and/or training or an equivalent combination of education and experience

Job Description

Identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services
Provide quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the healthcare team
Process the case utilizing the client's outcome management model and tools
Obtain written authorization for case management services as well as release of information
Assess 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
Develop a plan of care with client's model through interdisciplinary collaboration, which identifies realistic short- and long-term goals
Identify, secure, and coordinate the services and resources to implement the plan
Monitor services being provided for continued appropriateness and report to client and insurance carrier
Evaluate the client's progress, the plan, and the appropriateness of the services provided, with modifications as necessary
Provide ongoing instruction to the client and family regarding the injury/disease process, treatment options, and present care
Promote the client's/family's self-advocacy skills to achieve maximum self-sufficiency
Have knowledge of the benefit package as well as all available funding sources and systems of care and coordinate with the payer for authorization of payment
Provide in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas
Demonstrate effective, accurate, and timely verbal and written communication in all work situations
Identify and disclose all situations that might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client
Frequently travel to patient appointments
Perform other related duties as assigned in accordance with the necessary job function

Benefits:

Tremendous Career Growth Opportunities!
Senior management and leadership are very well respected by the team!
Great work environment with a family-like work culture!
Medical, Dental and Vision + 401k + Tuition Assistance + Disability

Apply

Vacancy posted 1 day ago

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