CASE MANAGER (LPN/LVN)- Full Time

Job Description

Responsibilities

Come and join the RMC Family!

We have been in the community since 5. Our mission is to provide comprehensive multi-specialty medical services in the greater Riverside region.

Your passion, inspiration, and talents are invaluable to us and our mission to serve others. Our facility can provide a place for you to thrive and continue your professional development.

Quality Healthcare is our passion, improving lives is our reward. We are working to change lives and transform the delivery of healthcare.

Riverside Medical Clinic is the best place to work, practice medicine, and receive care.

SUMMARY : Identifies, plans, and coordinates high-risk patient care (frail, chronic disease, catastrophic injury) in an ambulatory setting.

Reviews referrals and applies the UM standards for patient care. Ensures continuity of care across the continuum. Promotes and evaluates quality and cost-effective outcomes.

QUALIFICATIONS : To perform this job successfully, an individual must be able to perform each essential function satisfactorily.

The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

HOURS : Monday- Friday 8 : AM- 5 : PM

Qualifications

EDUCATION and / or EXPERIENCE : High School Diploma or GED required. Graduate of an accredited LVN Program. A.A., Diploma preferred.

One to two years related experience and / or training; or equivalent combination of education and experience.

CERTIFICATES, LICENSES, AND REGISTRATIONS : Current California LVN license.

ESSENTIAL FUNCTIONS :

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job’s purpose and objectives.

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable.

Note : (other duties may be assigned, deleted or changed at any time, at the discretion of management, formally, or informally, either verbally or in writing).

1. Assess available information to determine patient needs. Develop and initiate comprehensive, multidisciplinary treatment plans.

2. Consult and coordinate treatment plans with providers.

3. Establish and implement with patient and health care team measurable goals within the proposed treatment plan.

4. Verify patient and medical group eligibility and benefits. Monitor utilization of resources and readjust treatment plans when appropriate.

5. Monitor patient responses to treatment plans.

6. Monitor patient outcomes to determine patient satisfaction as well as the effectiveness and efficiency of the treatment plans.

7. Orient providers to managed care and RMC goals and philosophies.

8. Initiate required QRM reports per company policy.

9. Utilize established criteria for authorization guidelines.

Communicate problems with patients and physicians to resolve issues in a timely manner.

This opportunity offers the following :

Challenging and rewarding work environment

Growth and Development Opportunities within UHS and its Subsidiaries

Competitive Compensation

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance.

Steadily growing from a startup to an esteemed Fortune corporation, UHS today has annual revenue nearing $ billion. In 7, UHS was recognized as one of the World’s Most Admired Companies by Fortune;

ranked # on the Fortune , and listed # in Forbes inaugural ranking of America’s Top Public Companies.

Our operating philosophy is as effective today as it was years ago : Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has more than , employees and through its subsidiaries operates more than acute care hospitals, behavioral health facilities and ambulatory centers in the United States, Puerto Rico, the U.

S. Virgin Islands and the United Kingdom.

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc.

Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc.

All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware.

Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware.

Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc.

UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails.

All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and / or method without a valid written search agreement in place for this position will be deemed the sole property of UHS.

No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.