AMBULATORY CARE MANAGER – CARE MANAGEMENT – Epic Management – United States

AMBULATORY CARE MANAGER – CARE MANAGEMENT

Epic Management

16 reviews


United States

Ambulatory Care

Manager works with outpatient members, providers and caregivers to provide

intensive, comprehensive care management and increase efficient utilization of

services; identifies chronic or catastrophic cases through the care management

process and initiates intensive care management according to program

guidelines. Provides education, counseling and on demand information to

patients who have a specific chronic condition. The RN will provide education

and coordinate care needs with the patient’s primary provider from information

gathered via interview and face to face contact. Services are performed

telephonically from the Care Management Department. Serves as a liaison between

providers, patients and care management teams. All interactions are documented

and sent to appropriate individuals. Provides reports as requested.

Qualifications

Graduation

from an accredited school of nursing. Bachelor’s Degree in nursing or

healthcare related field or current equivalent related work experience preferred.

Two years clinical or case management experience in an acute care or ambulatory

care setting required. Two or more years of experience in an IPA/Medical Group

or health plan in a managed care environment preferred. Current

State of California Unrestricted RN licensure required. CCM preferred. Working

knowledge of guidelines and regulations relevant to case management and

utilization management, including Medicare, DMHC, NCQA, and Milliman Care

Guidelines preferred. Demonstrated ability to

utilize/apply the general and specialized principles, practices, techniques and

methods of case management. Bilingual

skills desirable. Understand confidentiality and the legal and ethical issues pertaining to

case management. Knowledge of available community resources. Principles and practices of

health care, health care systems, and medical

administration.

Applications must be complete and demonstrate that the

minimum qualifications are met. Resumes may be attached to completed

application form as supplemental information, but will not be accepted in lieu

of an official application form. Applications will be screened and the most

qualified candidates who best match the needs of the position will be invited

to compete further in the recruitment process.

Due to the large volume of applications received, we are unable to track

for individual applications or discuss the application process.

About secureteam

secureteam
A Computer Programmer whose articles got mentions from the likes of The New York Times, Kissmetrics and AllTopStories. He writes articles, novels and poems; spends most of his time reading everything he could get his hands on. He is currently pursuing his Masters from The University of Illinois and holds a Bachelors in Electronics Engineering from the University of California. He is a programmer, a motivational writer and speaker.

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