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Case Management Intermediate (WDH 23056-1 )

Woodland Hills, California | Contract

Job ID: 54749 Position: Administrative/Clerical/Support

EXCITING LONG-TERM CONTRACT FOR CASE MANAGER WITH BEHAVIORAL HEALTH EXPERIENCE IN WOODLAND HILLS!

 

 

JOB SUMMARY:

Working with complex cases promotes the delivery of quality; cost-effective health care services based on medical necessity and contractual benefits. Works with other members of HCS team, provider, hospitals, IPA/MGs, members and their families to plan and review medical necessity, intensity of services, level of care, length of stay and general appropriateness of care. Provides guidance to the provider network. Performs effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of care. May provide case management to member segments with chronic or catastrophic illness. Specific licensing requirements may apply depending upon position i.e. LVN, RN or Clinical Social Worker.

JOB DUTIES:

Discharge planning for cases that exceed EOA or dx assigned to RN. Follow-up with LLC coordination such as SNF, HH, HI, Rehab. Referrals to QM, DM, CM and AGD
IPA oversight, Continuity of Care, Healthy Families activities, OOA/OON cases, invest/exp, POS
Other CM activities as identified Support to senior/lead CMs as needed. Ability encompasses broad knowledge of concepts, practices and procedures required within health care field. Uses concepts and abilities as well as internal policies and procedures to complete assignments and solve problems.

EXPERIENCE:

3-5 years of experience

Bachelor’ s degree

RN license

Experience in behavioral health

Rachel Savitt
Staffing Manager

Rachel rejoined the Wollborg Michelson Recruiting team in Torrance as the Staffing Manager. She previously worked for the company from 2006-2009 as a Recruiter for the Temporary division. Rachel brings over 16 years of Staffing Industry experience. She has worked on all sides of the industry as a temporary employee, client, full desk Recruiter as well as corporate for a Staffing Company. Her goal is to change the lives of everyone she works with no matter what their role. In her free time, Rachel enjoys spending time with her friends and family. She is active with multiple non-profit animal rescues and prefers to ask for donations instead of gifts for birthday. She also enjoys kickboxing, Muay Thai and dancing. Rachel always finds a way to connect with people. Her #1 Strength from Strengthfinders is Connectedness.

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