Ambulatory Case Manager, RN or LVN

PIH Health Hospital; Whittier (CA); On-site; USD 55,000 - 88,000; Full time

Job summary

PIH Health Hospital is seeking an Ambulatory Case Manager, RN to provide comprehensive care coordination and case management services. This role involves engaging with members and multidisciplinary teams to implement individualized care plans and promote health stabilization.

A strong knowledge of case management principles and community resources is essential, along with an Associate degree and current California State RN licensure. The position offers a competitive salary range of $55.00 to $87.50.

Qualifications

• Strong knowledge of case management principles and care coordination.
• Minimum 2 years of clinical experience required.
• Current California State RN licensure or equivalent.

Responsibilities

• Provide comprehensive care coordination and case management services.
• Engage with members, families, healthcare providers, and multidisciplinary teams.
• Create and implement individualized care plans.

Skills

Case management principles

Care coordination

Transition of care processes

Communication skills

Problem-solving skills

Organizational skills

Education

Associate degree

Current California State RN licensure or LVN

Tools

Microsoft Word

Microsoft Excel

Job description

The Ambulatory Case Manager, RN is responsible for providing comprehensive care coordination and case management services to members, ensuring seamless transitions of care, promoting health stabilization, and reducing avoidable hospitalizations. The PHP Ambulatory Case Management team is responsible for High-Risk Case Management, Complex Case Management (CCM), Special Needs Plan Case Management (SNP) and Care Coordination including Transitions of Care. This role requires strong knowledge of case management programs, health plan benefits, managed care principles, and community resources. Will engage with members, families, healthcare providers, and multidisciplinary teams to create and implement individualized care plans. Serves as a liaison between key stakeholders including members, providers, and health plans.

Required Skills

• Strong knowledge of case management principles, care coordination, and transition of care processes
• Understanding of managed care, including risk-based contracts, delegated health plans, and compliance requirements
• Ability to work collaboratively with multidisciplinary teams, patients, and families
• Strong communication, organizational, and problem-solving skills
• Computer literate, with ability to navigate multiple computer applications

Required Experience

• Associate degree
• Current California State RN licensure or LVN
• Minimum 2 years clinical experience

Preferred

• Bachelor’s Degree
• Valid California Driver’s License and proof of automobile insurance
• Experience in case management
• Managed Care experience
• Proficiency in Word and Excel

Address: 6557 Greenleaf Ave.

Salary: 55.00-87.50

Shift: Days

Zip Code: 90601