Utilization Management Case Manager
Company: San Ysidro Health Center
Location: Chula Vista
Posted on: May 26, 2023
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Job Description:
Position Summary:
Under the supervision of the Utilization Management Manager, the
Case Manager is responsible for constructing a comprehensive care
plan and providing a range of care coordination services; including
but not limited to, monthly health interviews with patients,
coordination with family members and caregivers, and working with
community services to ensure access to care. The Case Manager is
comfortable in providing guidance and completion of needs
assessments, development of patient-focused care plans, periodic
reassessments, and comprehensive service coordination (such as
assisting with access challenges, developing relationships with
service providers, and tracking interventions and outcomes). In
addition, the Case Manager will provide telephonic Care Management
(non-face-to-face) services, as an extension of the clinical staff
of SYHealth, managing patients with 2 or more diagnosed chronic
conditions.
Essential Functions of the Job:
Additional Duties and Responsibilities:
Education Required (Minimum level of education):
Bachelor's degree (Social Work, Psychology, or a related
Health/Human Services field) or Licensed Vocational Nurse
certification.
A minimum of 3 years' experience in chronic care and/or disease
management with minimum of 1 year of experience in a healthcare
setting, providing direct patient care may be considered in lieu of
a bachelor's degree or LVN.
Certifications/Licenses Required:
CA driver's license and vehicle with appropriate insurance
coverage. Local travel is required for work in the field for this
position.
Experience Required (Minimum level of experience):
2 years of experience in chronic care and/or disease management
with minimum of one year of experience in a healthcare setting,
preferably providing direct patient care, or with duties
encompassing patient education, advocacy, and navigation of
connections across complex health systems and community services.
Resourceful community liaison required with experience in managed
care and clinical quality helpful.
Verbal and Written Skills Required to perform the Job:
Good written and verbal communication. Bilingual strongly
preferred.
Working Traits:
Superb organizational ability and exceptionally analytical. Willing
and able to work in different environments, including being office
based and spending time on the ground within communities.
Technical Knowledge and Skills Required to Perform the Job:
Experience and proficiency with Microsoft Office software;
especially Excel. Experience managing EHR system.
Equipment Used:
Personal Computer and/or Laptop
Working Conditions and Physical Requirements:
Prolonged periods of sitting, and constant walking and standing.
Driving and travel required. The employee may be in contact with
individuals and families in crisis who may not be attentive to
basic personal hygiene, health, and safety practices. The employee
must be ready to respond quickly and effectively to many types of
situations.
About UsSan Ysidro Health is a Federally Qualified Health Care
organization committed to providing high quality, compassionate,
accessible and affordable healthcare services for the entire
family. The organization was founded by seven women in search
ofmedical services for their families and community. Almost 50
years later, SanYsidro Health now provides innovative care to over
108,000 patients through avast and integrated network of 47 program
sites across the county. San YsidroHealth could not serve our
patients without the dedication of our passionateand hardworking
employees. Apply today and become a part of our mission-driven
team!San Ysidro Health has a long-standing commitment to equal
employment opportunity for all applicants for employment.
Employment decisions including, but not limited to, those such as
employee selection, performance evaluation, administration of
benefits, working conditions, employee programs, transfers,
position changes, training, disciplinary action, compensation, and
separations are made without regard to race, color, religion
(including religious dress and grooming), creed, national origin,
nationality, citizenship status, domestic partnership status,
ancestry, gender, affectional or sexual orientation, gender
identity or expression, marital status, civil union status, family
status, age, mental or physical disability (including AIDS or
HIV-related status), atypical heredity cellular or blood trait of
an individual, genetic information or refusal to submit to a
genetic test or make available the results of a genetic test,
military status, veteran status, or any other characteristic
protected by applicable federal, state, or local laws.
Other details
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Keywords: San Ysidro Health Center, Chula Vista , Utilization Management Case Manager, Executive , Chula Vista, California
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