Case Manager (RN/LPN)

Community Clinic is seeking an experienced nurse to work as a Case Manager to engage with our patients in high risk categories. This role will guide patients with chronic conditions in self-management/care planning and will manage cases during high risk transition times. Collaboration with care providers, patients and their families, and clinical staff will be critical to success in this role.

Key Responsibilities

• Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care.
• Coordinates the integration of social service function into patient care.
• Follows the Population Health Management model/chronic disease management protocols which focus on the critical importance of patient activation, involvement and personal responsibility; and the patient focused expansion of care coordination provided through wellness and disease management.
• Ensures compliance with quality patient care and regulatory compliance.
• Collaborates with clinical staff in the development and execution of the plan of care and achievements of goals.
• Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
• Ensures that patient tests and labs are appropriate and necessary and are carried out within the established timeframe and that results are promptly available to providers.
• Promotes effective and efficient utilization of clinical resources.

Essential Qualifications and Skills

• RN, BSN, or LPN required.
• 2 years of utilization review/case management experience preferred.
• 1 year of experience in discharge planning/hospital preferred.
• Spanish language ability preferred.
• Knowledge of clinical practices in an ambulatory care, family practice setting required.
• Knowledge of risk management and QI/QA principles, practices and management required.

Why Join Community Clinic?

• Be a part of a mission driven organization providing comprehensive health care to everyone in your community, regardless of their financial or medical situation!
• Automatic 5% contribution to employee retirement plan, no match required!
• Competitive pay, PTO, and 10 annual paid holidays!

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 403(b)
• 403(b) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday
• No weekends

Work Location: In person