CASE MANAGER (LPN/LVN)- Full Time
About The Position
Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development. Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare. Riverside Medical Clinic is the best place to work, practice medicine, and receive care. SUMMARY: Identifies, plans, and coordinates high-risk patient care (frail, chronic disease, catastrophic injury) in an ambulatory setting. Reviews referrals and applies the UM standards for patient care. Ensures continuity of care across the continuum. Promotes and evaluates quality and cost-effective outcomes.
Requirements
- High School Diploma or GED required.
- Graduate of an accredited LVN Program.
- One to two years related experience and/or training; or equivalent combination of education and experience.
- Current California LVN license.
Nice To Haves
- A.A., Diploma preferred.
Responsibilities
- Assess available information to determine patient needs. Develop and initiate comprehensive, multidisciplinary treatment plans.
- Consult and coordinate treatment plans with providers.
- Establish and implement with patient and health care team measurable goals within the proposed treatment plan.
- Verify patient and medical group eligibility and benefits. Monitor utilization of resources and readjust treatment plans when appropriate.
- Monitor patient responses to treatment plans.
- Monitor patient outcomes to determine patient satisfaction as well as the effectiveness and efficiency of the treatment plans.
- Orient providers to managed care and RMC goals and philosophies.
- Initiate required QRM reports per company policy.
- Utilize established criteria for authorization guidelines.
- Communicate problems with patients and physicians to resolve issues in a timely manner.
Benefits
- Challenging and rewarding work environment
- Growth and Development Opportunities within UHS and its Subsidiaries
- Competitive Compensation
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
1,001-5,000 employees
