Catastrophic Nurse Case Manager - Signal Hill, CA

Catastrophic Nurse Case Manager - Full-time

Location: Signal Hill, CA

Required Qualifications:

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  Registered nurse

  
  


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  BSN preferred

  
  


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  CCM or equivalent certification

  
  


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  Three years or more of related experience and/or training or an equivalent combination of education and experience

  
  

Job Description

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  Identify, assess, plan, coordinate, implement, monitor, and evaluate options and services for individuals requiring case management services

  
  


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  Provide quality, cost-effective outcomes for the client through collaboration and communication with the client, the family, the physician, and other members of the healthcare team

  
  


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  Process the case utilizing the client's outcome management model and tools

  
  


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  Obtain written authorization for case management services as well as release of information

  
  


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  Assess the client/family to identify their strengths and resources; problems; psychosocial, financial, and medical history; current status; diagnosis; prognosis; functional status; goals; current treatment plan; and needs

  
  


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  Develop a plan of care with client's model through interdisciplinary collaboration, which identifies realistic short- and long-term goals

  
  


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  Identify, secure, and coordinate the services and resources to implement the plan

  
  


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  Monitor services being provided for continued appropriateness and report to client and insurance carrier

  
  


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  Evaluate the client's progress, the plan, and the appropriateness of the services provided, with modifications as necessary

  
  


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  Provide ongoing instruction to the client and family regarding the injury/disease process, treatment options, and present care

  
  


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  Promote the client's/family's self-advocacy skills to achieve maximum self-sufficiency

  
  


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  Have knowledge of the benefit package as well as all available funding sources and systems of care and coordinate with the payer for authorization of payment

  
  


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  Provide in-depth reporting of outcomes encompassing clinical, functional, financial, and customer satisfaction areas

  
  


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  Demonstrate effective, accurate, and timely verbal and written communication in all work situations

  
  


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  Identify and disclose all situations that might result in exposure to legal liability and/or are indicative of poor quality care negatively affecting the client

  
  


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  Frequently travel to patient appointments

  
  


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  Perform other related duties as assigned in accordance with the necessary job function

  
  

Benefits:

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  Tremendous Career Growth Opportunities!

  
  


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  Senior management and leadership are very well respected by the team!

  
  


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  Great work environment with a family-like work culture!

  
  


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  Medical, Dental and Vision + 401k + Tuition Assistance + Disability