SantaBarbaraRecruiter
the smart solution for Santa Barbara jobs

Pediatric CM Nurse Coordinator - Bilingual Required (1 position)

Company: CenCal Health
Location: Santa Barbara
Posted on: March 9, 2019

Job Description:

Location: Santa Barbara, California, , United StatesJob ID: 47108158Posted: 03/04/2019Position Title: Pediatric CM Nurse Coordinator - Bilingual Required (1 position)Company Name: CenCal HealthSector: HospitalEntry Level: falseFull-Time
Santa Barbara, CA, USA
Req Number: PEDIC01022

Pediatric CM Nurse Coordinator - Bilingual Required (1 position)

DescriptionThis CM Nurse Coordinator position is responsible for coordinating and managing specific CenCal Health members for defined periods of time and/or post discharge transition from an inpatient setting (e.g. acute care hospital, skilled or long-term care facility) to ensure that member's outpatient care is being coordinated and that all medically necessary services are being provided in a timely manner. In addition, this position requires the management of complex care members over longer periods as deemed appropriate, and potentially preventable admissions.

Responsibilities include but are not limited to:

  • Coordinate the provision of quality and cost-effective health care services
  • Coordinate care and services for members and effectively and efficiently implement and complete the care management process. This process involves health screening, assessment, care planning, coordination of care, and monitoring of member's progress and compliance
  • Collaboratively develop realistic individualized care plan with member and their family
  • Perform concurrent review of hospitalized member
  • Assist with discharge planning and care transitions from one care setting to another
  • Process service requests and specialty referrals in a timely manner
  • Collaborate with the member, the member's family or caretaker, primary care provider, and other health care providers
  • Coordinate timely care transition from one level of care to another, such acute to SNF or SNF to home or other living arrangement as the member's care needs change
  • Effectively communicate and educate members about the health care delivery system and health plan benefits and limitations
  • Identify care needs of the member, identify interventions, develop plan of care, implement necessary services, and establish timelines for case management services
  • Effectively communicate verbally and in writing with primary care providers and other health care providers involved in the member's care
  • Adhere to Health Plan and department specific policies and procedures
  • Collaborate with contracted agencies and community based organizations to provide supportive services when needed (VNA- home nursing, PT, Meals on Wheels etc.)
  • Support and collaborate with the management and health services team members in the implementation and management of CM activities
  • Actively participate in the development, implementation and evaluation of department initiatives with the intent to assess and evaluate any measurable improvements to member's quality of care
  • Other duties as assigned Qualifications

    Skills
    Preferred
    • Outlook: Intermediate
    • Microsoft Office: Intermediate

      Experience

      0">
      Required
      • Bi-lingual-English and Spanish - 1 position only
      • Current, Active RN License
      • 2 years: Registered Nurse in outpatient, inpatient or office setting

        0">
        Preferred
        • Prior UM/CM experience in a managed care setting
        • Certification in case management, utilization review or healthcare management
        • 1 year: Clinical Experience working with pediatric population

          Apply and Learn More: PI108292223

          Keywords: CenCal Health, Santa Barbara , Pediatric CM Nurse Coordinator - Bilingual Required (1 position), Other , Santa Barbara, California

          Click here to apply!

          Didn't find what you're looking for? Search again!

          I'm looking for
          in category
          within


Other Other Jobs


Work from home- Daily Pay
Description: We are actively searching for highly motivated individuals to work individually
Company: Ameriplan
Location: El Monte
Posted on: 03/20/2019

Process Development Senior Scientist - Cellular Sciences/Biosafety Dev
Description: The Amgen Thousand Oaks Cellular Sciences department is seeking an enthusiastic, highly motivated, and team-oriented scientist for the position of Process Development Senior Scientist, to join and lead (more...)
Company: Amgen
Location: Thousand Oaks
Posted on: 03/20/2019

Four Positions- Work at home
Description: Interviewing Immediately to fill our work at home positions.We are hiring for highly
Company: Ameriplan
Location: Los Angeles
Posted on: 03/20/2019


Dog Sitting Wanted - Patient Dog Sitter Wanted, Seeking Pet Sitter
Description: Nice to meet you My name is Luis. My family
Company: PetSitter
Location: Los Angeles
Posted on: 03/20/2019

CDL-A Owner Operators Wanted - $3,250 Sign-On Bonus
Description: Drive Atlas is hiring Owner Operators 3,250 Sign On Bonus The Commercial Truckload Division is a fleet that OTR and Regional transporting dry van shipments which include new products, store fixtures, (more...)
Company: Drive Atlas
Location: Delano
Posted on: 03/20/2019

MJOL Affiliate Marketer-WORK FROM HOME
Description: Join Mommy Jobs Online the largest affiliate marketing community and training website on the internet, and discover the freedom of making money online We will show you how you can earn money working (more...)
Company: Mommy Jobs Online
Location: Thousand Oaks
Posted on: 03/20/2019

BNS Buyer - SBO
Description: Welcome page br Returning Candidate br Log back in br br br br BNS BUYER - SBO br br Job Locations US-CA-Santa Barbara br Posted Date 3 weeks ago 2/22/2019 9:08 AM br br Req. (more...)
Company: Bruker Corporation
Location: Santa Barbara
Posted on: 03/20/2019

Work From Home Today FT/PT Positions
Description: Interviewing Health Benefits Consultants. If you are self motivated, and excited about helping others save money then this is
Company: AmeriPlan
Location: Long Beach
Posted on: 03/20/2019

ENGAGEMENT SPECIALIST - PART TIME
Description: of Openings1OverviewWould you like to make a difference in what consumers shop for Our Events Specialist team may be the right fit for you By demonstrating retail products you could make an impact (more...)
Company: Crossmark, Inc.
Location: El Monte
Posted on: 03/20/2019

CDL-A Team Truck Driver Jobs
Description: CDL-A Team Truck Driver Jobs Founded and run by a family of drivers, we ve been pridefully rolling for close to 40 years, developing a family environment powered by truth and respect. Standing at the (more...)
Company: Pride Transport
Location: Torrance
Posted on: 03/20/2019

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Santa Barbara RSS job feeds