Case Manager II

Works with internal and external health care team to provide oversight of care coordination activities and promote effective and appropriate utilization of services and management of members in Case Management.

Requirements

• Graduate from an accredited school of nursing or other health-related field.
• Active California RN license required or comparable credential.
• Certified Case Manager certification.
• 3 years of experience working in an acute care facility (ICU, emergency department, and/or medical/surgical unit) or outpatient health care setting and 1-year experience in a managed care environment, hospital discharge planning or outpatient clinic.
• Bilingual preferred; English/Spanish, English/Tagalog, English/Arabic, English/Vietnamese.
• Knowledge of managed care principles preferred.
• Experience with understanding and interpreting clinical guidelines.
• Ability to communicate effectively verbally and in writing; exceptional telephone and customer service skills; ability to establish effective working relationships with physicians and medical professionals; ability to organize work effectively, determine priorities, and work well independently.