AppleCare Medical Management Group was incorporated in 2003. Over the last 17 years, the multispecialty medical group of independent practices has expanded into new communities, contracted with more hospitals and health plans, and added over 50 new doctors - but the mission has remained the same. Today, AppleCare Medical Management is comprised of hundreds of board-certified private-practice, independent physicians. Collectively, our physicians have been serving the Southeast area of Los Angeles and Northern Orange County for decades, providing their medical expertise and passion to improving the health of our communities. As a part of our continued growth, we are searching for a new Case Manager to join our team... The Case Manager is responsible for managing acute and skilled inpatient and outpatient populations of patients with complex and serious problems requiring special healthcare needs. These include elderly patients, high-risk OB, transplants, complex HIV/AIDS patients, pediatrics, and chronic conditions such as CHF, COPD, diabetes and cardiac disease. Individual services are coordinated for patients whose needs include ongoing medical care, home health & hospice care, rehabilitation services and preventive care services. Primary Responsibilities:Manages a case load of complex patients Oversees the population management cases that are managed by the case management assistant Works collaboratively with the patient, physician, family members and providers of healthcare to implement plans of care to meet the individual needs Works collaboratively with discharge planners at the affiliated hospitals and case management staff at the contracted health plan offices Identifies acceptable care options to the patient and family, utilizing the Case Management Society of America (CMSA) standards Coordinates resources to reduce fragmentation of services and facilitate the achievement of realistic treatment goals Provides patients with education and training regarding specific health care needs Creates individualized treatment plans Performs all other related duties as assigned
Required Qualifications:Current RN or LVN license in the state of California 2+ years of Clinical Nursing experience: inpatient, outpatient, SNF, LTAC Excellent written and verbal communication skills Computer proficiency in MS Office: Outlook, Word, Excel, PowerPoint Preferred Qualifications:Previous Case Management experience Managed Care work experience Certified Case Manager - CCM Bachelor's Degree in Nursing Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: RN, LVN, Case Management, Case Manager, Managed Care, Health plan, IPA, La Palma, CA
Our mission is to help people live healthier lives and to help make the health system work better for everyone.- We seek to enhance the performance of the health system and improve the overall health and well-being of the people we serve and their communities. - We work with health care professionals and other key partners to expand access to quality health care so people get the care they need... at an affordable price. - We support the physician/patient relationship and empower people with the information, guidance and tools they need to make personal health choices and decisions.