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