Care Manager Jobs

About The Position

Requirements

• Associate of Science degree in Nursing.
• Current, unrestricted California Registered Nurse license.
• Current CPR/BLS certification from an American Heart Association- or Red Cross-accredited program.
• Must obtain EPIC certification for the module hired into.
• Valid California driver’s license and auto insurance.
• At least 3 years of acute-care, hospital-based experience.
• Proficiency in Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook.
• Ability to use widely supported internet browsers, electronic health records, and other databases.
• Ability to communicate effectively in English in person, in writing, and by telephone.
• Ability to communicate positively, effectively, and professionally; enforce policies consistently; remain calm and courteous under pressure; lead, supervise, teach, and collaborate; and accept direction.
• Ability to think critically, perform basic math, manage multiple assignments, compose written material, organize and prioritize workload, problem-solve, recall information accurately, attend to detail, and work independently with minimal supervision.
• Must be legally authorized to work in the United States on a full-time basis and must not now or in the future require employment visa sponsorship.

Nice To Haves

• Bachelor of Science in Nursing (BSN).
• Bilingual in English and Spanish.

Responsibilities

• Review patients’ electronic medical records and develop, implement, and evaluate individual care plans with the provider.
• Communicate with case managers, program managers, health professionals, and coordinators regarding patient situations, and ensure recommendations are shared across the healthcare team.
• Collaborate with physicians, other healthcare professionals, clients, and families to develop comprehensive, coordinated care plans.
• Support and encourage patient activation toward health goals and provide evidence-based practice.
• Assist with developing goals and objectives for the clinics as they relate to continuity of patient care; assist with patient triage when necessary.
• Monitor and promote effective utilization of healthcare resources through the electronic medical record and clinical measures, and track patients’ medical and behavioral health outcomes.
• Manage acute and chronic diseases, reevaluate care plans, and ensure their continued appropriateness as patient needs and conditions change.
• Gather input from care management team members to prioritize patient cases for systematic population or caseload management.
• Oversee the Patient Navigator and Care Coordinators on the team and ensure the team works cohesively.
• Maintain and apply knowledge of specialized case management and utilization management methodologies and practices.
• Serve on assigned committees and participate in meetings and outside activities as delegated.
• Work with staff at all levels to ensure program measures are met.
• Assist in developing and revising policies, procedures, clinical guidelines, and ancillary guidelines for patient care.
• Ensure medical appropriateness criteria, including intensity of service and severity of illness, are met for the level of care provided and documented for each encounter.
• Perform other duties outlined in the official job description.
• Mentor and train other Care Management Team members.

Benefits

• Industry-leading PTO accrual, accrued per pay period.
• Sick leave.
• Paid holidays.
• Paid jury duty.
• Bereavement leave.
• SAC Health covers approximately 85% of team member health premium costs, which may vary by benefit plan selection.
• Retirement plan with up to an 8% employer contribution.
• Continuing education and learning benefits.
• Annual mission trip.