Registered Nurse, Out-Patient Case Manager

AltaMed•Montebello, CA

About The Position

The RN Case Manager provides daily care coordination, case management, coaching, consultation, and intervention for patients with one or more chronic diseases. The role identifies patients through provider or clinic referrals, utilization management referrals, disease registry reporting, and patient self-referrals. It also provides case management to hospitalized patients and those who may need ambulatory case management. Working as part of an interdisciplinary care team, the RN Case Manager coordinates services such as social work and mental health counseling, psychosocial support, in-home support, legal services, skilled nursing, and home health. The role collaborates with care team members and clinic physicians, performs telephonic and face-to-face assessments, and leads and supports a cohort of LVN Case Managers, Case Manager Coordinators, and Social Workers serving a specified patient population.

Requirements

Graduate from an accredited nursing program.
Hold a current, valid Registered Nurse license through the California Board of Registered Nursing.
Have experience in and willingness to participate in a multidisciplinary team.
Have experience with physically or mentally impaired adults and/or the geriatric population.
Have three years of RN experience in public health nursing, acute care, case management, and/or home health care.
Have a minimum of two years of managed care experience.
Hold a valid BLS certification or higher following American Heart Association or American Red Cross guidelines.

Nice To Haves

A bachelor’s degree in social work, nursing, or another health or human services field with the appropriate licensure is preferred.
Case management experience focused on inpatient and/or outpatient ambulatory care is preferred.
Bilingual English and Spanish skills are preferred.

Responsibilities

Provide daily care coordination, case management, coaching, consultation, and intervention to patients with chronic diseases.
Identify patients through provider or clinic referrals, utilization management referrals, disease registry reporting, and patient self-referrals.
Provide case management for hospitalized patients and patients who may need ambulatory case management.
Coordinate social work, mental health counseling, psychosocial support, in-home support, legal services, skilled nursing, home health, and other interdisciplinary services.
Collaborate with interdisciplinary care team members and clinic physicians.
Perform telephonic and face-to-face assessments of assigned patients.
Lead and provide support and guidance to a cohort of LVN Case Managers, Case Manager Coordinators, and Social Workers.