RN CASE MANAGERS
Facey Medical is seeking full-time, part-time and on-call RN Case Managers
Full-time positions: Monday-Sunday, 8:30am-5:30pm (Variable Days)
Part-time & on-call positions: Monday-Sunday, 8:30am-5:30pm (Variable Days)
$5,000 Sign-on Bonus for eligible full-time & part-time positions
INPATIENT CASE MANAGER
Performs on-site concurrent utilization review and formulates discharge plans for capitated patients who are hospitalized. The review includes coordination of services for medical necessity, cost effectiveness, timeliness of service and ensuring that quality standards are met. Performs coordination of services for patients whose health plan has an at-risk agreement to ensure that services are medically necessary, cost effective, provided in a timely manner and meet local standards or care. Meets with patients and families to assess and listen to their needs, makes appropriate referrals and arrangements for post discharge care. This is a hospital-based position where the Inpatient Case Manager works collaboratively with Hospitalists and other members of the health care team to improve the patient experience. Documentation of all patient care and encounters will be in an electronic format in the CCM software and Facey’s electronic EHR; employing web-based evidenced-based medical protocols.
COMPLEX CASE MANAGER
Assists in the coordination of care and services provided to members who have experienced a critical event or diagnosis. The goal of the complex care management case manager is to help patients regain optimum health or improved functional capability, in the right settings, and to ensure that services are medically necessary, cost effective, provided in a timely manner and meet local standards or care. This is an office-based position located in the Utilization Management Department in Mission Hills, California. It involves telephonic outreach to perform comprehensive assessments of the patient’s condition, determination of available benefits and resources, and development and implementation of a care management plan with performance goals, monitoring and follow up. Documentation of all patient care and encounters will be in an electronic format in the CCM software and Facey’s electronic EHR; employing web-based evidenced-based medical protocols.
Bachelor’s degree preferred. RN graduate of an accredited school of nursing required. Three to five year’s experience preferred in a managed care setting/utilization review/discharge planning/case management. Strong clinical background, preferably in acute care or home health. Current CA RN licensure and American Heart Association BLS for Health Care Providers required. Must be able to utilize multiple resources to determine health plan requirements and benefits as applied to the utilization and case management process and clinical decision making. Must possess excellent customer service and communication skills. Must be organized and a self-starter and have working knowledge of MS Outlook, Word and Excel; capable of being trained in referral processing software. Bilingual – Spanish preferred.
Our compensation package includes competitive pay, excellent benefits starting first day of the month following employment for eligible full-time and part-time RNs, generous paid time off, tuition reimbursement, 403(b) retirement plan with employer match, paid licensure & CEUs.
Apply on-line: www.facey.com
We are located at:
Facey Medical Foundation Human Resources Department
15455 San Fernando Mission Blvd., Suite #100
Mission Hills, CA 91345