This job board retrieves part of its jobs from: Toronto Jobs | Emplois Montréal | IT Jobs Canada

Job Listings in Anaheim

To post a job, login or create an account |  Post a Job

  Jobs in Anaheim  

Bringing the best, highest paying job offers near you

Slide 1
Slide 2
Slide 3
previous arrow
next arrow

Case Manager LVN

AHMC Healthcare

This is a Contract position in Anaheim, CA posted January 19, 2022.

The LVN Case Manager uses InterQual criteria to evaluate the appropriateness of admissions, concurrent stay and readiness for discharge.  She/he assures correct level of care: critical, telemetry, acute, observation, for all patients.  The Case Manager provides an efficient, coordinated approach to clinical management, with an emphasis on discharge planning, care coordination and utilization management activities for select patient populations across the continuum of programs and services at AHMC.  The essential functions of the LVN Case Manager require constant collaboration with the Social Workers, Nursing staff, Financial Counselors, Medical Staff to coordinate the care of patients in a proactive manner. 

2 years Utilization Management/Case Management experience preferred in acute care setting.

Working knowledge of Interqual, Intensity of Service/Severity of Illness criteria.

Working knowledge of Title XVII and Title XIX.

Working knowledge of reimbursement related to Medicare, Medi-Cal, Capitation, and Managed Care is required.

Ability to negotiate orders with the physicians in order to assign alternate levels of care.

Working knowledge of community resources.

Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF’s.

Ability to case manage smoothly and increase patient/physician satisfaction while staying within guidelines.

Ability to track outcomes and report findings.

Able to problem solve effectively.

Ability to use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs required.

Must have excellent oral and written communication, interpersonal, problem-solving, conflict resolution, presentation, time management, positive personal influence and negotiation skills.

Must have strong clinical assessment and critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.

Must have the ability to work in a high volume caseload environment and deal effectively with rapidly changing priorities.

Excellent computer skills with word, excel and power point.

LVN License in the State of California required.  Certified Case Manager preferred.