Remote RN Catastrophic Case Manager – LA Area

Scm-Associates,-Inc; Lynwood (CA); Remote; USD 85,000 - 110,000; Full time

Job summary

SCM Associates, Inc. is seeking a Catastrophic Case Manager to support Southern California clients.

The role involves identifying, assessing, planning, coordinating, implementing, monitoring, and evaluating care for individuals needing case management services, with a focus on quality and cost-effective outcomes. Based from a home office and requiring regular in-person patient visits, the position demands strong collaboration with families, physicians, and care teams, plus travel within the

Qualifications

• RN license in state(s) where cases are to be managed
• BSN preferred
• CCM or equivalent certification

Responsibilities

• Processes the case utilizing client's outcome management model and tools
• Obtains written authorization for case management services as well as release of information
• Assesses the client/family to identify strengths and needs across psychosocial, financial, and medical aspects
• Develops a care plan with inter-disciplinary collaboration
• Identifies, coordinates, and secures services to implement the plan
• Monitors services for continued appropriateness and reports to client and payer
• Evaluates progress and adjusts plans as needed
• Provides ongoing instruction to client and family about injury/disease, treatment options, and present care
• Promotes client self-advocacy for maximum independence
• Maintains knowledge of benefit packages and funding sources for authorization of payment
• Delivers in-depth reporting of outcomes across clinical, functional, financial, and consumer satisfaction
• Maintains timely verbal and written communication in all work situations
• Identifies situations that may expose to liability or affect quality of care
• Travel to patient appointments is frequently required

Skills

Case management

Interdisciplinary collaboration

Communication skills

Problem solving

Education

RN license (CA or applicable state)

BSN preferred

CCM or equivalent certification

Job description

SCM Associates, Inc. is seeking a Catastrophic Case Manager to support Southern California clients.

The role involves identifying, assessing, planning, coordinating, implementing, monitoring, and evaluating care for individuals needing case management services, with a focus on quality and cost-effective outcomes. Based from a home office and requiring regular in-person patient visits, the position demands strong collaboration with families, physicians, and care teams, plus travel within the