Hoag Health System
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
Hoag Health System - Newport Beach, California, us, 92659
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Overview
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
Join to apply for the
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
role at
Hoag Health System CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
3 days ago Be among the first 25 applicants Join to apply for the
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
role at
Hoag Health System Get AI-powered advice on this job and more exclusive features. Primary Duties and Responsibilities
The Care Manager (RN/MSW) coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. Job Description
Primary Duties and Responsibilities
The Care Manager (RN/MSW) coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.
Reviews clinician assessments and patients’ financial, family and psychosocial support to develop comprehensive care and/or discharge plans. May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support.
May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. May provide psychodynamic intervention and crisis counseling to support patients and families. Educates patients and families on their healthcare options and connects them with resources.
Documents pertinent patient issues, contacts and plans on the medical records. Is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless and mental health population. Performs other duties as assigned.
Community Health: The Care Manager/ Social Worker (MSW) provides care in the outpatient environment and surrounding community as dictated by Community Benefit parameters. Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client centered.
Manages the client needs through the continuum of care which can include intake through case termination plans. Assesses patients' needs including financial, family and psychosocial support, and develops tailored care plans.
Records client progress including referrals, home visits, and other notable interactions; periodically evaluate client’s progress and adjusts to improve outcomes. Collaborates with the Center for Healthy Living staff, partner agencies, and other community agencies as needed.
Provides care to higher acuity patients and works with team members to arrange for appropriate resources. May provide psychodynamic intervention and crisis counseling to support clients. Facilitates psychoeducational groups as needed.
Assists in training interns, collecting data to measure program outcomes. Performs other duties as assigned.
Qualifications
Education and Experience
Positions Requirements Depend On Licensure And Are As Follows
Case Manager (RN) – Bachelor’s degree in Nursing (BSN) required. Care Manager (RN)s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program. One year of experience in an acute health care setting preferred.
Care Manager (MSW) – Master’s degree in Social Work (MSW) required. One year of MSW experience in an acute healthcare setting preferred.
Community Health: Master’s degree in Social Work (MSW) required. One year of MSW experience in community case management preferred. Understands working with the low income and under resourced community. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Bilingual or multilingual preferred.
License Required
Registered Nurse (RN) license - for Care Manager I (RN) position Community Health: CA Driver’s License
License Preferred
N/A
Certifications Required
N/A
Certifications Preferred
N/A Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Get notified about new Care Manager jobs in
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We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Join to apply for the
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
role at
Hoag Health System CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
3 days ago Be among the first 25 applicants Join to apply for the
CARE MANAGER I (RN) - PD - CARE MANAGEMENT (UTILIZATION REVIEW)
role at
Hoag Health System Get AI-powered advice on this job and more exclusive features. Primary Duties and Responsibilities
The Care Manager (RN/MSW) coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care. Job Description
Primary Duties and Responsibilities
The Care Manager (RN/MSW) coordinate patients’ needs through the continuum of care which can include from pre-admission through post discharge plans. This role works in collaboration with the physicians, nurses, clinical staff, and community agencies to identify and arrange for appropriate care.
Reviews clinician assessments and patients’ financial, family and psychosocial support to develop comprehensive care and/or discharge plans. May focus more heavily on a specific aspect of Care Management like discharge planning, utilization review, and/or providing psychosocial support.
May review records to assess for appropriate admission status, level of care, payer source, and UR contracts to validate billing. May provide psychodynamic intervention and crisis counseling to support patients and families. Educates patients and families on their healthcare options and connects them with resources.
Documents pertinent patient issues, contacts and plans on the medical records. Is a mandated reporter for elder, child, and spousal abuse. The Community Care role specifically provides Care Management support to high-risk, homeless and mental health population. Performs other duties as assigned.
Community Health: The Care Manager/ Social Worker (MSW) provides care in the outpatient environment and surrounding community as dictated by Community Benefit parameters. Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client centered.
Manages the client needs through the continuum of care which can include intake through case termination plans. Assesses patients' needs including financial, family and psychosocial support, and develops tailored care plans.
Records client progress including referrals, home visits, and other notable interactions; periodically evaluate client’s progress and adjusts to improve outcomes. Collaborates with the Center for Healthy Living staff, partner agencies, and other community agencies as needed.
Provides care to higher acuity patients and works with team members to arrange for appropriate resources. May provide psychodynamic intervention and crisis counseling to support clients. Facilitates psychoeducational groups as needed.
Assists in training interns, collecting data to measure program outcomes. Performs other duties as assigned.
Qualifications
Education and Experience
Positions Requirements Depend On Licensure And Are As Follows
Case Manager (RN) – Bachelor’s degree in Nursing (BSN) required. Care Manager (RN)s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program. One year of experience in an acute health care setting preferred.
Care Manager (MSW) – Master’s degree in Social Work (MSW) required. One year of MSW experience in an acute healthcare setting preferred.
Community Health: Master’s degree in Social Work (MSW) required. One year of MSW experience in community case management preferred. Understands working with the low income and under resourced community. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Bilingual or multilingual preferred.
License Required
Registered Nurse (RN) license - for Care Manager I (RN) position Community Health: CA Driver’s License
License Preferred
N/A
Certifications Required
N/A
Certifications Preferred
N/A Seniority level
Seniority level Entry level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Hoag Health System by 2x Get notified about new Care Manager jobs in
Newport Beach, CA . Garden Grove, CA $25.00-$35.00 1 month ago Director of Patient Care Services, Home Health
Irvine, CA $130,000.00-$160,000.00 1 week ago Newport Beach, CA $70,000.00-$75,000.00 1 month ago Irvine, CA $102,029.00-$139,075.00 7 hours ago Ambulatory Care Patient Mgr 1 - Clinic Cardiovascular - FT Days
Lake Forest, CA $65,000.00-$80,000.00 2 months ago San Juan Capistrano, CA $69,000.00-$90,000.00 1 month ago Norwalk, CA $85,000.00-$95,000.00 1 month ago Lakewood, CA $85,000.00-$95,000.00 4 months ago Norwalk, CA $85,000.00-$95,000.00 4 months ago Fountain Valley, CA $130,270.40-$195,416.00 1 week ago Ambulatory Care Patient Mgr 1 - Cardiac Cath Lab - FT Days
Westminster, CA $56.65-$71.85 5 months ago Huntington Beach, CA $55,000.00-$68,000.00 1 day ago Virtual Resident Services Manager - The Residences at Bella Terra Apartments (*Not Remote*)
Huntington Beach, CA $25.00-$27.00 3 days ago Clinical Manager Behavioral Health, Full Time, Days Shift
Newport Beach, CA $70,000.00-$75,000.00 1 week ago Managed Care Operations Claim Manager - Managed Care Operations - FT
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr