Ambulatory Case Manager, RN or LVN

PIH Health; Whittier (CA); On-site; USD 75,000 - 95,000; Full time

Job summary

PIH Health is looking for an Ambulatory Case Manager, RN in Whittier, California. The role focuses on providing comprehensive care coordination and case management services to members, promoting health stabilization and reducing avoidable hospitalizations. You will work closely with members, families, and healthcare providers to implement individualized care plans.

Strong knowledge of case management programs and managed care principles is essential. Join a dedicated team making a meaningful impact in community health.

Qualifications

• Strong knowledge of case management programs and health plan benefits.
• Experience with managed care principles and community resources.
• Ability to engage with members, families, and healthcare providers.

Responsibilities

• Provide comprehensive care coordination and case management services.
• Ensure seamless transitions of care and promote health stabilization.
• Create and implement individualized care plans with multidisciplinary teams.

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.