Case Management - Nurse, Senior

BSCLong Beach, CA
60d

About The Position

The Case Management team performs case management (CM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating MDs. The Case Management - Nurse, Senior will report to the Manager, Care Management. In this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, polypharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits.

Responsibilities

  • determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, polypharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits

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What This Job Offers

Job Type

Full-time

Career Level

Senior

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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