Overview

Monitors the admissions, continued stay, and discharge of patients following pre- established criteria. Assures that patients meet InterQual criteria from admission to discharge including appropriateness of level of care.

Conducts interdisciplinary care management rounds. Ensures collaboration between multidisciplinary healthcare team members, primary physician, community agencies, HMOs / PPOs, CCS, etc.

whose services may be required and / or related to the care needs of the patient after hospital discharge. Monitors nursing and medical plans of care / discharge plans and provides appropriate interventions to assure care is appropriate, coordinated and that avoidable patient days are addressed effectively through education, consultation, and counseling as needed.

Ensure patient centered discharge planning and assessment by communicating the appropriate discharge information and instructions to the primary care giver and primary physician and / or follow-up care agency.

Assures patients are transferred to appropriate approved facilities when required.

This position requires providing service to an ill through rehabilitating neonatal through geriatric patient population in a manner that demonstrates an understanding of the functional / developmental age of the individual served.

• Performs admission and continued stay review utilizing criteria approved by the medical staff to ensure that patients meets Severity of illness / intensity of Service criteria.
• Confers with the attending / consulting physician(s) as appropriate when the medical necessity for admission or continued stay in not clear.
• Consults with the Physician Advisor when the admission or continued stay does not meet criteria, care is not being provided timely or does not meet the community standard of care.
• Provides clinical review information to external review entities or insurance companies to ensure authorization for admission and continued stay is obtained.
• Accurately completes the MediCal Treatment Authorization Request (TAR) in detail to ensure payment for hospital services.
• Refers medically complex patients under the age of 65 to the MediCal Case Management program.
• Facilitates transfer of patients to other acute care facilities as required either due to third party payer requirements or county indigent program.
• Identifies potentially avoidable days, delays in service, over utilization or quality of care issues and completes reports as required.
• Performs the Case Management Admission Assessment within two working days of admission.
• With the concurrence of the patient, family and physician develops a plan for post discharge care.
• Refers appropriate patients to Social Services for psychosocial intervention, Advance Directive or end of life education.
• Accurately documents the case management process in the medical record on the Discharge Planning Assessment form N-245.
• Identifies the responsibilities and involvement of the Inter-disciplinary team members in discharge planning activities on an ongoing basis.
• Participates in Interdisciplinary Care rounds / conferences to facilitate coordination of care, goal setting, and developing strategies to facilitate the discharge planning process.
• Communicates the final discharge date and plan with the patient and family to ensure that they are informed as required by law and documents such notification in the Plan section of the Discharge Planning Assessment form (N-245).
• Provides accurate information and completes referrals as appropriate to implement the discharge plan including but not limited to Home Health Services, Hospice, Skilled Nursing Facilities, Durable Medical Supplies, and other community resources.
• Maintain confidentiality as required by HIPPA and only provides information relating to payment, hospital operations or continuity of care.
• Provides hand off information to the receiving Case Manager to ensure a safe, smooth transition to other nursing units.
• Refers situations requiring immediate intervention to the Director of Case Management, Risk Management, Director of Quality Management and the Vice President of Medical Affairs.
• Participates in committee meetings, patient care conferences other activities as assigned.
• Participates in department Performance Improvement activities.
• Participates in the orientation of new employees or cross training other case managers as needed.
• Maintains accurate records and statistics of case management activities, as required.
• Demonstrates a continuing effort to improve the quality of case management performance through on-going education.
• Incorporates the core values; dignity, collaboration, justice, stewardship and excellence into daily performance.
• Performs other related duties as assigned or requested.

Qualifications

• Graduate of an accredited RN School of Nursing.
• Current California RN License.
• Current BLS Card.
• Current MAB Certification (BMC) preferred.
• Broad knowledge of medical and allied health sciences.

Case Manager

Los Angeles,, CAAre you a top-notch Case Manager specializing in Personal Injury matters? Are you passionate about helping injured people?

A top-tier and powerhouse Plaintiff’s personal injury law firm, is the place for you!

Principal Responsibilities :

The ideal candidate has pre-litigation personal injury experience. Duties include frequent client contact, medical records review and analysis, assisting clients with medical providers, preparing files to submit to our demand department, and providing superior client service.

Required Experience & Skills :

• Ideally over 5 years of personal injury case management experience
• Detail-oriented professional with a positive outlook
• Strong interpersonal and organizational skills
• Experience handling large volume of personal injury pre-lit cases
• Litify experience is a huge plus
• Type at least 60 wpm

Description :

CASE MANAGER POSITION SUMMARY :

The Case Manager will develop and facilitate the essential case plan components that provide our guests the resources to attain the goal of life transformation and self-sufficiency.

CASE MANAGER CORE WORK PRINCIPLE :

Colossians 3 : 23 is the foundation of URM's standard for employment, Whatever you do, work at it with all your heart, as though you were working for the Lord and not for people.

The goal for each employee is to enrich and sustain a humble heart attitude; to enrich and sustain a mindset of serving others, treating them with kindness and truth;

and to enrich and sustain a zealous desire for achieving work objectives without any ulterior motives or agendas.

CASE MANAGER ESSENTIAL FUNCTIONS :

• Develop a clearly written case management plan for services and objectives for assigned caseload.
• Perform case management activities to include :
• Intake assessments and evaluations.
• Providing emergency and special service related to legal, medical, or mental health issues.
• Establishing program goals and priorities.
• Conducting scheduled case management meetings with guests.
• Referring residents to essential services such as housing, county benefits, education etc.
• Coordinating plan implementations with other staff.
• Maintain client records and document and submit weekly and monthly-related case management documentation.
• Compose and process various types of correspondence to include letters, sensitive and confidential information, official and / or legal letter and documents.
• Assist with volunteer supervision.
• Travel as required to meet accountabilities.
• Arrange transportation for guests, as needed.
• Conduct other tasks and projects as assigned by the Programs Director.
• Commitment to URM mission, vision, and core values.
• Encourage guests in their faith and growth in Jesus Christ.

CASE MANAGER PHYSICAL DEMANDS :

In general, the following physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to allow differently-abled individuals to perform the essential functions of the job.

Manual dexterity required for occasional reaching and lifting of objects of small objects, and operating office equipment.

CASE MANAGER WORK ENVIRONMENT :

In general, the following conditions of the work environment are representative of those that an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to allow differently-abled individuals to perform the essential functions of the job within the environment.

• Noise levels are considered low to moderate.
• The office is clean, orderly, properly lighted and ventilated.
• This position predominantly works indoors in a high traffic office setting.

PM20

Requirements :

CASE MANAGER EXPERIENCE, EDUCATION AND LICENSURES :

• Must have High School Diploma or GED.
• Bachelor's degree in behavioral sciences, social work, or a closely related field preferred.
• Minimum 2 years of prior related experience.
• Prior experience working with or serving homeless families is preferred.
• Valid driver's license with the ability to be added to the company's insurance policy.

CASE MANAGER KNOWLEDGE, SKILLS, AND ABILITIES :

• Must have excellent time management skills and ability to multi-task in a high stress environment.
• Ability to communicate effectively in both written and verbal formats.
• Proficient in Microsoft programs including Word, Excel and Outlook and the ability to learn proprietary computer programs.
• Fluency in Spanish, both verbal and written, is a plus.
• Child Development and Special Education background is a plus.

PI223439868

About Us : VOALA

VOALA

Helping Our Most Vulnerable Change Their Life Stories

Volunteers of America is a non-profit human services organization committed to serving people in need, strengthening families, and building communities.

VOALA provides a variety of social services to Los Angeles area communities such as Head Start programs, Upward Bound college prep programs, veterans’ services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation.

Learn more at www.voala.org.

PAY RATE : $22.03-$23.19 PER HOUR

JOB SUMMARY AND PURPOSE

The Case Manager Generalist provides case management services to clients classified as low acuity. The Case Manager Generalist is the primary point of contact to coordinate services and care for assigned clients.

Each Case Manager Generalist handles a caseload of individuals in need of a wide variety of human services resources and provides the full range of services available.

DUTIES AND RESPONSIBILITIES

• Conducts comprehensive screenings and assessments with individuals (or families) to collect functional, environmental, psycho-social, financial, employment, housing, educational, and health information, as appropriate
• Assess barriers facing the clients and develop a case plan.
• Coordinate individualized planning with clients to meet short- and long-term needs.
• Provide service linkages and support systems to ensure identified needs are met.
• Coordinates case conferences with residents, consults with service team, monitors progress of clients on case plan, assists clients to meet the agreed upon goals.
• Acts as advocate for client before judicial, community, social service, and administrative bodies as needed; facilitates support groups and client participation as appropriate.

Qualifications

REQUIREMENTS :

Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications

EDUCATION :

HS / GED. Completion of VOALA Case Management training within 6 months of hire.

EXPERIENCE :

• Minimum 1-year general experience in case management or similar social services role
• Or Bachelor’s Degree in Social Services related field in lieu of experience

PREFERRED QUALIFICATIONS :

• Bachelor’s Degree (Social Work, Social Services, public administration, public health or related field)
• 1 year of experience working with target population
• HMIS navigation

Volunteers of America is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law

This employer participates in E-Verify as required by the federal government and will provide the federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.

If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.

Exempt

Driving Required

PATH is currently seeking candidates to join our Veteran Services Department as a Case Manager in our SSVF Program. This position welcomes candidates at all experience levels with compensation commensurate with experience.

ABOUT OUR SSVF PROGRAM

PATH’s SSVF Program works to promote housing stability among very low-income Veteran families who reside in or are transitioning into permanent housing.

The SSVF program focuses heavily on linking Veterans to resources provided by the Department of Housing and Urban Development (HUD) Veterans Affairs Supportive Housing (VASH) program.

WHAT IS A CASE MANAGER?

As part of the multidisciplinary SSVF Program team, the Case Manager helps program participants break the cycle of homelessness and work towards housing stability by providing field-based supportive services including outreach, linkage and retention services.

Responsibilities of the Case Manager include :

• Providing mobile case management services such as assistance with independent living and money management skills, employment linkage, benefits establishment, and linkage to community providers for substance use, mental health and primary health care
• Collaborating with clients to develop treatment plans that address short-term and long-term goals and
• Providing on-going case management and service coordination to assess and support progress towards goal completion and make adjustments as necessary
• Conducting crisis and risk assessments and providing crisis intervention services focused on enhancing the clients’ ability to independently problem solve, utilize effective coping skills, and manage and self-coordinate own care
• Maintaining documentation standards in accordance with program contracts and PATH policy

WHAT YOU BRING

We’re looking for candidates that :

• Demonstrate knowledge of or experience with evidence-based case management techniques including critical time intervention, harm reduction strategies, crisis intervention techniques and motivational interviewing
• Maintain and execute confidential information according to HIPPA standards
• Possess a high level of tolerance and understanding for individuals with urgent and multiple case management and health needs
• Work just as well independently as they do on a team
• Exercise mature judgement, and are highly motivated, self-starting and proactive
• Are excellent at communicating, whether in writing or verbally
• Have a strong sense of prioritization and can coordinate multiple demands in a high-pressure environment

PREFERRED QUALIFICATIONS

• Bachelor’s degree in social work or a related field, or an equivalent combination of education and experience.
• One (1) year of experience working in homeless services, mental health, substance use and co-occurring disorders or with vulnerable populations, or a related field.
• Experience with HMIS.
• Lived and / or professional experience relevant to issues related to homelessness and / or working with vulnerable populations.
• Demonstrated knowledge of or experience with case management techniques, including critical time intervention, harm reduction strategies, crisis intervention techniques and motivational interviewing.

MINIMUM QUALIFICATIONS

All levels of education and experience welcome.

MANDATORY REQUIREMENTS

For this role, candidates must :

• Be able and willing to work flexible hours which may include evenings or weekends
• Have employment eligibility verification
• Have or be able and willing to obtain CPR / First Aid training
• Provide proof of full COVID- vaccination
• Successfully complete the following as a condition of hire : Tuberculosis TestBackground ScreeningDrug Test

DRIVING

Driving is an essential function of this position. To meet the employment requirements for this role, all candidates must :

• Have reliable transportation
• A valid driver’s license
• Proof of insurance and ownership for personal vehicles used during work duties
• The ability to qualify for PATH's insurance coverage

FLEXIBLE WORK

We are a California employer. Therefore, all regular and customary work must be performed within the state. Approval for work outside of the office, does not establish approval for work to be conducted outside of California.

WHAT WE OFFER

In addition to a rewarding work environment, we offer our employees a competitive benefits package that includes medical, dental and vision coverage, vacation and sick time, paid holidays, and a retirement plan.

READY TO MAKE A DIFFERENCE THROUGH ACTION?

If this position sounds like a fit, please submit your application today. A resume is required.

PATH provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

In addition to federal law requirements, PATH complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

PATH will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.

PATH is dedicated to racial and social justice by centering equity in our service delivery and maintaining a diverse and inclusive work environment for the communities we serve.

We seek awareness and insight from witnessing the stories of our clients and learning from the experiences of our staff to ensure impactful systems change.

If people are empowered, they can bring their authentic, whole selves to work and when people feel like they belong, they can become part of a unified effort of ending homelessness for all.