Utilization Management Case Manager
Company: San Ysidro Health Center
Location: Chula Vista
Posted on: May 26, 2023
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.
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.
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.
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.
Keywords: San Ysidro Health Center, Chula Vista , Utilization Management Case Manager, Executive , Chula Vista, California
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