Job Description

The Outpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified High Risk members.  

The Outpatient Case Manager will assess and develop a care plan in collaboration with the admitting, attending and consulting physician, the member and other health care practitioners.  

The goal of the Outpatient Care Manager is to effectively manage members on an outpatient basis to assure the appropriate level-of-care is provided, to prevent in patient admission and re-admissions, and ensure that the members’ medical, environmental, and psychosocial needs are met over the continuum of care.

Qualifications

Education and / or Experience:

• Graduate from an accredited Registered Nursing or Vocational Nursing Program.
• Current CA RN license and current CPR certification.
• 3 years acute care or case management experience preferred.
• 2-3 years of utilization or HMO experience preferred.
• Knowledge of computers, faxes, printers and all other office equipment.
• Typing 30 WPM with accuracy.
• Proficient in MS Office Programs (i.e., Word, Excel, Outlook, Access and PowerPoint).

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