Registered Nurse - Case Manager

Job Summary

Our client is seeking a Registered Nurse Case Manager who will be responsible for conducting, reviewing, and documenting comprehensive clinical and psychosocial assessments. The role includes facilitating care plans with the involvement of members and coordinating care across various healthcare services to ensure functional independence at home or in the community. The Registered Nurse Case Manager will also manage the transition of care for members moving between settings.

Responsibilities / Job Duties

• Conduct, review, and document comprehensive clinical and psychosocial assessments and on-going follow-up interventions.
• Maintain case files in accordance with policies and procedures, ensuring compliance with state and federal requirements.
• Facilitate involvement in development and implementation of care plans with the member and/or family.
• Coordinate member's care with PCP, Specialists, Behavioral Health, and support providers.
• Facilitate successful transition of care for members between care settings.
• Support the transition of long-term care members to lower levels of care or community settings, if assigned to MLTSS.
• Conduct telephonic assessments.

Minimum Education and Experience Qualification Requirements

Qualifications

• Active California RN License without restriction.
• Minimum three years of experience in case management, discharge planning, or equivalent experience.
• Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management.
• Clinical knowledge and critical thinking skills necessary to develop an effective care plan.
• Proficient in operating computer applications such as Outlook, Word, Excel, and specific case management programs.
• Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills preferred.
• Experience working with designated member population (e.g., behavioral health, seniors and persons with disabilities, children) preferred.

Schedule / Shift

Work onsite from 8:30 AM to 5:00 PM, Monday to Friday.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Here at Medix, we are dedicated to providing workforce solutions to clients throughout multiple industries. We have been named among the Best and Brightest Companies to Work For in the Nation for two consecutive years. Medix has also been ranked as one of the fastest growing companies by Inc. Magazine.

Our commitment to our core purpose of positively impacting 20,000 lives affects not only the way we interact with our clients and talent, but also with our co-workers! The goal is lofty, but it is made attainable through the hard work and dedication of our teams and their willingness to lock arms together. Are you ready to lock arms with us?