Location: Orange,CA, USA
The Supervisor of Case Management is responsible for coordinating with physicians, staff, community resources and facilities regarding patient care. In conjunction with physicians, develops plans of care and discharge plans, monitors all clinical activities, makes recommendations for alternative levels of care, identifies cost-effective protocols, and develops guidelines for care.With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island. Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years, Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care. We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS.Facilitates and coordinates all non high risk discharges and planning issues. Identifies age-related problems that may require intervention, e.g. geriatric patient for visual, comprehension, gait or housekeeping problems and the ability to participate in the discharge plan.|When applicable, retrieves Tar, enters on TAR Log, and forwards to TAR Manager the first working day after discharge. Utilizes an interdisciplinary approach to develop the plan and goals, as appropriate.|Facilitates and coordinates all non high risk discharges and planning issues. Identifies age-related problems that may require intervention, e.g. geriatric patient for visual, comprehension, gait or housekeeping problems and the ability to participate in the discharge plan.Assists Social Services in planning setting that is most appropriate to meet the patient's needs.Minimum of three (3) years experience in an acute hospital setting. Expertise in any of the following areas: Healthcare Management, Quality Assessment and Improvement, Continuous Quality Improvement., Utilization Review, Discharge Planning, Social Service, Infection Control, Risk Management. Graduate from an Accredited Professional School of Nursing. American Heart Association (BLS) preferred. Current RN license.“Location-Based Pay Adjustment”