Hybrid Chronic Care Manager, Pop Health, Value Based Care

at The Princess Margaret Hospital

• Job title: Chronic Care Manager, Pop Health, Value Based Care
• Job type: Full Time
• Experience level: Junior
• Salary: $120,000 - $165,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Los Angeles, United States

About the role

• RN Case Manager performing clinical assessments and coordinating care transitions for acute care patients. Advocating for patient self-determination and contributing to discharge planning.

Responsibilities

• The RN Case Manager is responsible for performing clinical assessment and reassessment of acute care Inpatients for the purpose of performing utilization review, resource management and safe discharge planning.
• Prioritizes, plans, organizes, and implements timeliness of care.
• Collaborates with the interdisciplinary healthcare team to promote and coordinate the delivery of safe and cost-effective patient care, transition of care and discharge planning.
• Advocates for patient self-determination and choice.
• Practices clinical competence in evaluations and planning with awareness and respect for patient and family diversity.
• Monitors and coordinates resource utilization throughout the continuum of care and evaluates timeliness of services.
• Performs admission, continued stay and discharge review utilizing medical staff-approved decision support criteria.

Requirements

• One year of case management experience or 1 year nursing leadership experience
• Current Licensure as a Registered Nurse in the State of California
• Computer/EMR Proficiency and Literacy
• Knowledge of CMS, Medicare, Medi-Cal and Managed Care reimbursement
• Familiarity of Joint Commission, CMS, CDPH requirements
• Excellent written and verbal communication skills in English
• Ability to establish and maintain effective working relationships across the organization
• Ability to facilitate and lead interdisciplinary rounds
• Bachelor of Science in Nursing (Preferred)
• Certified Case Manager (CCM) (Preferred)
• Familiarity with AllScripts Care Management (Preferred)
• Proficiency with Milliman Care Guidelines or Interqual (Preferred)
• Bilingual skills to communicate effectively with patients and families (Preferred)

Benefits

• Tuition Reimbursement: $3,000