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Case Manager, ACO

Regal Medical Group
Lakeside
Type Full time Posted 12/20/2012
Salary DOE Starts ASAP
CA - California (All) - Norhtridge, Covina and Simi Valley Referral - n/a -    

Regal Medical Group is an affiliated Independent Physician Association (IPA) of Heritage Provider Network. At the forefront in the search for excellence in healthcare, we have developed a robust health care system that sets us apart from the other IPA’s.

 By combining the benefits of a well-managed and centralized administration function we are able to offer personal attention to our community-based physicians. Regal Medical Group and our physician network are committed to delivering high-quality medical care and improving patient service.

 We offer employer paid Medical, Dental (HMO) and Life Insurance, along with a generous PTO package and much more.

 

Nurse Case Managers will strategically manage services for specified ACO patient populations. They will provide a focus on wellness, prevention, and efficient care through the coordination with their patients, their patient’s families and their physicians. The education of the patient and his/her family will be incorporated into the care plan after careful assessment of the patient’s knowledge base, home life, and post-acute resources.

 Our Case Managers will play a vital role in the clinical, financial and education of patients and will ensure these aspects are all considered simultaneously throughout the continuum of care through our ACO program. They will ensure the patient receives the right services at the right level of care and will assist the patient in navigating their own care at an optimum level.

 

  1. Current CA LVN or RN License
  2. Current CPR certification
  3. Valid CA Driver’s license
  4. Experience with senior populations and medi-care a strong plus
  5. 2-3 years of utilization or HMO experience preferred
  6. Must have excellent communications and presentations skills
  7. Ability to travel through out a given territory
  8. Ability to make home visits

 

An Accountable Care Organization, or ACO, is comprised of a healthcare organization and an associated set of providers who agree to be held accountable for the cost and quality of care delivered to a defined patient population. The overall goal of an ACO is to improve quality of care and service through coordination of care across the entire continuum, to reduce costs through enhanced preventative care and disease management, and to develop the necessary skills and resources to meet established cost and quality healthcare goals.


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Contact Information

Lakeside
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