Nurse Case Manager: Clinical Care Navigator

Physicians Data Trust; Vista (CA); Vor Ort; USD 85.000 - 120.000; Vollzeit

Zusammenfassung

Physicians Data Trust is seeking a dedicated Case Manager RN/LVN to support member care coordination and collaboration with Health Plan, Hospital Case Management, and treating physicians. The role emphasizes assessment, planning, facilitation, advocacy, and cost-effective care across the continuum.

Ideal candidates will have 2-3+ years in managed care case management, active RN/LVN licensure, and strong communication skills to work with multidisciplinary teams and adherence to regulatory

Qualifikationen

• Requires 2-3+ years of experience in case management within a Managed Care environment.
• Active RN or LVN license in state of employment.
• Clinical expertise from 3-5 years of acute nursing practice.

Aufgaben

• Act as assessor, planner, facilitator, and advocate in case management.
• Coordinate services with Health Plan and Hospital Case Management.
• Review clinical information per regulatory mandates to support patient care.
• Participate in discharge planning and Utilization Management committees.
• Prepare concise case presentations for Medical Director and leadership.

Kenntnisse

Case management

RN

LVN

Cozeva

Microsoft Word

Microsoft Excel

Ausbildung

Nursing program

Tools

Cozeva

Jobbeschreibung

Physicians Data Trust is seeking a dedicated Case Manager RN/LVN to support member care coordination and collaboration with Health Plan, Hospital Case Management, and treating physicians. The role emphasizes assessment, planning, facilitation, advocacy, and cost-effective care across the continuum.

Ideal candidates will have 2-3+ years in managed care case management, active RN/LVN licensure, and strong communication skills to work with multidisciplinary teams and adherence to regulatory