Medical case manager Jobs in Los Angeles, CA

Job Description

Job Description

Company Description

International SOS delivers customized medical and security risk management and wellbeing solutions to enable our clients to operate safely and effectively in environments far from home. Founded in 1984, we operate in 92 countries providing integrated medical solutions to organizations with international operations. Our innovative technology and medical and security expertise focus on prevention, offering real-time, actionable insights and on-the-ground quality delivery. We provide clinical services to include “hands on” direct care at over 800 sites around the world, many of which include inpatient clinical care capabilities. With 12,000 staff (including 5,200 medical and behavioral health providers) our services include the design, deployment, and operation of healthcare solutions including freestanding surgical facilities in remote and austere environments, telemedicine consultation through a wide range of virtual modalities, referrals to a global network of more than 100,000 vetted providers, and global aeromedical evacuation. Within our portfolio of companies, International SOS, headquartered in Houston, Texas provides contracted healthcare support to Government defense and civil agencies and government contractors, including support to military exercises and operations, diplomatic missions, natural disasters, and refugee care.

Job Description

This Position is Contingent on Contract Award.

This position is in support of a proposed repatriation initiative.  The purpose of the facilities is to provide comprehensive care for migrant individuals who are awaiting reunification or repatriation.  This care will begin as soon as each occupant arrives at the facility and will last until their arranged departure. The comprehensive care includes but is not limited to initial screening and exams, identifications of prior conditions and allergies, day to day care of routine, urgent and emergency medical conditions.

The Medical Case Manager (MCM) will coordinate all onsite medical cases to ensure that appropriate and timely medical services are provided. This task will be achieved through liaising with local healthcare providers to identify the appropriate care, service, and location to manage the healthcare needs of patients.

The MCM will assure a comprehensive and effective Case Management process in support of patients to ensure functional care pathways are created. Case Pathways must promote effective communication with the medical care team in the identification of individuals requiring Case Management and the utilization of opportunities within the local healthcare system. The Lead MCM will utilize and maintain an approved data collection system in support of the program to demonstrate an effective end-to-end case management process.

Key Responsibilities :

• Establish and operate a new case management program that bridges the gap between the complex healthcare needs of the patients.
• Ensure appropriate oversight and direction for cases allocated to their respective teams.
• Facilitate the capacity and capabilities within the Onsite Medical Teams and the requirement for care within the local health care system.
• Responsible for the tracking, trending, and reporting of managed cases to support the defined reporting requirements of the client.
• Coordinate patient care throughout the healthcare continuum.
• Collaborate with social services to define patient’s needs and assist in plans for social service care.
• Reassess patient needs based on current evaluation of patient care.
• Serve as an advocate for the patient within the internal and external healthcare system.
• Serve as 24 / 7 POC for local hospitals to provide clinical instructions / discharge instructions.
• Communicate with clinicians' regarding treatment requirements, such as medications, etc.
• Coordinate with evacuation services for patient pick-up from local hospital.
• Coordinate and verify insurance eligibility and coverage for specified care with receiving facilities.
• Provide patient education on benefits, services, and other resources.
• Facilitate communication with patients, providers, and payers to secure successful outcomes.
• Ensure a comprehensive system to evaluate the healthcare needs of the individual and / or family to facilitate their overall wellness and one that addresses health issues to enhance the short and long-term outcomes.
• Ensure input from the Quality Assurance and Medical Team / s is collated for reviews and revisions.
• Participate in Interdisciplinary Team Meetings as required with the onsite medical leadership.
• Maintain accurate case management documentation in accordance with HIPAAA, and other local laws pertaining to confidentiality.
• Responsible for the creation and maintenance of a Case Management Standard Operating Procedure (SOP) IAW with client requirements.

This list is non-exhaustive, and the role holder may be required to undertake additional duties that are not specifically listed above .

Qualifications

Experience Required :

Education Required :

Physical Requirements :

Other Special Qualifications :

Additional Information

Pay range is based on several factors and may vary in addition to a full range of medical, financial, and / or other benefits. Final salary and offer will be determined by the applicant’s background, experience, skills, internal equity, and alignment with geographical market data.

Compensation|  Min :   50k   Max : 130k

Benefits – Full-time positions are eligible for our comprehensive and competitive benefits package including medical, dental, vision, and basic life insurance. Additional benefits include a 401k plan paid time off and an annual bonus.  International SOS complies with all federal, state, and local minimum wage laws.

International SOS  is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with the applicable federal, state and local laws.

International SOS Government Medical Services is an equal opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state and local laws.