General Case Manager (RN or LVN)

JOB OBJECTIVE

The Case Manger (CM) will work in office, and / or field settings supporting our Clinicas del Camino Real membership. Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for member identified to be medium rising risk or high utilizers. This position works with the care management and coordination teams to identify care medical and social needs and to establish support services to promote quality member outcomes.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The case manager plays a primary role in working with medium rising risk members or high utilizers to improve their health outcomes through medical and social care coordination approaches, community engagement, and targeted programs to support the unique needs of each assigned case management member. Case management strategies will be driven by incorporating the member’s ethnicity, age, specific chronic health conditions, social designations such as SUDs, prisoners, survivors of abuse, and those with mental health issues.

The fundamental principles of case management include :

• Assessment- involves a comprehensive collection of data and ongoing collaborative process of observation, information gathering, reflection and engagement with the client, and analysis of the client's overall situation and needs.
• Member Centric - actively participate in and are at the center of decision making and support planning. This fosters trust and ensures that the services provided align with the Members’ expectations and needs by Empowering them to take an active role.
• Planning to establish specific objectives and care goals, both short- and long-term, based on the client's needs identified earlier in the assessment process.
• Effective Communication Individual CM extends to writing concise and accurate reports, documentation, and referrals and leveraging technology to facilitate collaboration. Members utilize effective listening to understand the Member’s needs, concerns, and feedback, ensuring that they feel heard and respected.

Care Team promote seamless communication among all team members supported by regular meetings and shared data methodologies.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES (Continued)

The Case Manager works within a team environment to :

EXPERIENCE AND EDUCATION REQUIREMENTS

PREFERRED EXPERIENCE :

PREFERRED LICENSE, CERTIFICATION, ASSOCIATION :