Outpatient Case Manager: Chronic Care & Care Coordination

Imperial Health Plan of California, Inc.; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Imperial Health Plan of California, Inc. is seeking an Outpatient Case Manager to provide case management services for members with chronic medical conditions. The role involves conducting health risk assessments and developing individualized care plans.

Qualified candidates will have a minimum of 2 years of nursing experience and demonstrate excellent communication and problem-solving skills. Familiarity with CMS and MCG guidelines is essential.

Qualifications

• 2+ years of nursing experience in an acute care hospital setting.
• 1+ years of managed care and utilization review experience.
• Experience in CMS and MCG.
• Clinical knowledge of chronic conditions such as diabetes and congestive heart failure.

Responsibilities

• Conduct health risk assessments to identify members' needs.
• Create individualized care plans with members and caregivers.
• Evaluate members' progress toward goal achievement.

Skills

Health risk assessments

Case management practices

Communication skills

Problem-solving

Cultural sensitivity

Education

2+ years of nursing experience in an acute care hospital setting

1+ years of managed care and utilization review experience

Tools

CMS

MCG

Job description

Imperial Health Plan of California, Inc. is seeking an Outpatient Case Manager to provide case management services for members with chronic medical conditions. The role involves conducting health risk assessments and developing individualized care plans.

Qualified candidates will have a minimum of 2 years of nursing experience and demonstrate excellent communication and problem-solving skills. Familiarity with CMS and MCG guidelines is essential.