Job Title CASE MANAGER (LPN/LVN) - Full Time
Riverside, California
Administration, Licensed Practical Nurse (LPN)
Day
330094
Riverside Medical Clinic
USD $32.89/Hr.
USD $47.69/Hr.
Overview Come and join the RMC Family!
We have been in the community since 1935. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region. Riverside Medical Clinic is the best place to work, practice medicine, and receive care.
Responsibilities Identifies, plans, and coordinates high-risk patient care (frail, chronic disease, catastrophic injury) in an ambulatory setting. Reviews referrals and applies the UM standards for patient care. Ensures continuity of care across the continuum. Promotes and evaluates quality and cost-effective outcomes.
Assess available information to determine patient needs. Develop and initiate comprehensive, multidisciplinary treatment plans.
Consult and coordinate treatment plans with providers.
Establish and implement with patient and health care team measurable goals within the proposed treatment plan.
Verify patient and medical group eligibility and benefits. Monitor utilization of resources and readjust treatment plans when appropriate.
Monitor patient responses to treatment plans.
Monitor patient outcomes to determine patient satisfaction as well as the effectiveness and efficiency of the treatment plans.
Orient providers to managed care and RMC goals and philosophies.
Initiate required QRM reports per company policy.
Utilize established criteria for authorization guidelines.
Communicate problems with patients and physicians to resolve issues in a timely manner.
Qualifications EDUCATION and/or EXPERIENCE: High School Diploma or GED required. Graduate of an accredited LVN Program. A.A., Diploma preferred. One to two years related experience and/or training; or equivalent combination of education and experience.
CERTIFICATES, LICENSES, AND REGISTRATIONS: Current California LVN license.
Hours Monday- Friday 8:30AM- 5:30PM
Essential Functions Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Note: (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).
Assess available information to determine patient needs. Develop and initiate comprehensive, multidisciplinary treatment plans.
Consult and coordinate treatment plans with providers.
Establish and implement with patient and health care team measurable goals within the proposed treatment plan.
Verify patient and medical group eligibility and benefits. Monitor utilization of resources and readjust treatment plans when appropriate.
Monitor patient responses to treatment plans.
Monitor patient outcomes to determine patient satisfaction as well as the effectiveness and efficiency of the treatment plans.
Orient providers to managed care and RMC goals and philosophies.
Initiate required QRM reports per company policy.
Utilize established criteria for authorization guidelines.
Communicate problems with patients and physicians to resolve issues in a timely manner.
About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com
EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Pay Transparency To encourage pay transparency, promote pay equity, and proactively address regulations, UHS and all our subsidiaries will comply with all applicable state or local laws or regulations which require employers to provide wage or salary range information to job applicants and employees. Salary offers may be based on key factors such as education and related experience.
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