Bilingual Clinical Care Manager

Chula Vista, CA 91913

Posted: 02/26/20 Employment Type: Direct Hire Industry or Function: Management Job Number: 20013001 - NC

Job Description

Local San Diego Health Group looking for a Bilingual Clinical Care Manager to join their team.  Active California RN License required or comparable credential.  Bilingual preferred with at least 3 years of recent 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. Inpatient discharge planning or outpatient case management experience preferred. Bilingual Spanish, Vietnamese, Arabic or Tagalog preferred.   If you like great benefits, memorable events and Breakfast with the CEO then this position is for you!  Hours are  M – F 8am -5pm but could be required to work before and after work hours sometimes.  Company is in Chula Vista However; your territory is North County.  Clinical Manager is on site one day per week and is also required to attend department meetings held on Friday mornings.  Pay $73,711  This is a Direct Hire position!  Please e-mail resume to pharris@tristaff.com  or Call Prudence Today

760-471-9200

 

 

Job Duties:

 

  • Uses clinical judgment to monitor, review and coordinate proposed inpatient, outpatient and specialty service requests for high risk adult and pediatric populations and determines covered benefits based upon lines of business benefit structures.
  • Conducts necessary outreach to high risk members for education on compliance with prescribed treatment plans.
  • Clinical oversight of assigned caseload and care coordinators.
  • Conducts home visits for identified members.
  • Assists providers and staff in the identification of chronic care, high risk case management and disease specific management options for identified high risk members.
  • Researches and assists in the implementation of processes surrounding workflow and internal guideline development designed to enhance member outcomes and increase customer satisfaction.
  • Assists providers and staff in the identification of chronic care, high risk case management and disease specific management options for identified high risk members.
  • Works closely with internal and external customers at assigned hospitals, clinics, and providers in order to facilitate and improve coordination of care.  Provides education to members and providers on available resources.  Offers assistance to peers when needed.
  • Develop and maintain accurate clinical documentation pertinent to member care coordination.
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Job Description: Works with internal and external health care team to provide clinical oversight of care coordination activities and promote effective and appropriate utilization of services and management of targeted members with high risk conditions.

 

 

Salary Range and Bonus Potential: $73,711 per year

 

Benefits:

 

  • Medical
  • Dental
  • Monthly Lunch with CEO
  • Paid Holidays
  • Paid Vacation

 

Job Requirements:

 

  • Bilingual Vietnamese or Spanish, Or, Tagalog, or Arabic
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Educational Requirements:

 

  • BA Degree
  • Active California RN License or comparable credentials
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FOR OTHER OPPORTUNITIES AT TRISTAFF, PLEASE VISIT OUR WEBSITE AT www.tristaff.com 

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