Ambulatory Case Manager, RN, Care Management (Hybrid), Full-Time, Days
Location: Whittier
Posted on: June 23, 2025
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Job Description:
The Ambulatory Case Manager, RN is responsible for providing
comprehensive care coordination and case management services to
members, ensuring seamless transitions of care, promoting health
stabilization, and reducing avoidable hospitalizations. The PHP
Ambulatory Case Management team is responsible for High-Risk Case
Management, Complex Case Management (CCM), Special Needs Plan Case
Management (SNP) and Care Coordination including Transitions of
Care. This role requires strong knowledge of case management
programs, health plan benefits, managed care principles, and
community resources. Will engage with members, families, healthcare
providers, and multidisciplinary teams to create and implement
individualized care plans. Serves as a liaison between key
stakeholders including members, providers, and health plans. PIH
Health is a nonprofit, regional healthcare network that serves
approximately 3.7 million residents in the Los Angeles County,
Orange County and San Gabriel Valley region. The fully integrated
network is comprised of PIH Health Downey Hospital, PIH Health Good
Samaritan Hospital, PIH Health Whittier Hospital, 35 outpatient
medical office buildings, a multispecialty medical (physician)
group, home healthcare services and hospice care, as well as heart,
cancer, digestive health, orthopedics, women’s health, urgent care
and emergency services. The organization is nationally recognized
for excellence in patient care and patient experience, and the
College of Healthcare Information Management Executives (CHIME) has
identified PIH Health as one of the nation’s top hospital systems
for best practices, cutting-edge advancements, quality of care and
healthcare technology. Required Skills Strong knowledge of case
management principles, care coordination, and transition of care
processes Understanding of managed care, including risk-based
contracts, delegated health plans, and compliance requirements
Ability to work collaboratively with multidisciplinary teams,
patients, and families Strong communication, organizational, and
problem-solving skills Computer literate, with ability to navigate
multiple computer applications Required Experience Associate degree
Current California State RN licensure Minimum 2 years clinical
experience Preferred: Bachelor’s Degree Valid California Driver’s
License and proof of automobile insurance Experience in case
management. Managed Care experience Proficiency in Word and Excel
Address 6557 Greenleaf Ave. Salary 42.56-70.22 Shift Days FLSA
Status Non-Exempt Shift Differential California Zip Code 90601
Keywords: , Chula Vista , Ambulatory Case Manager, RN, Care Management (Hybrid), Full-Time, Days, Healthcare , Whittier, California
