Case Manager

Astiva Health • Westminster, CA

309d

About The Position

This role will report to the Case Management (CM) Manager. The primary objective of the Ambulatory Case Manager (ACM) is to work within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The ACM will function within the Astiva Case Management department, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The ACM utilizes the principles of mutual respect, member/family advocacy and coordinates within the team of internal partners and outside agencies to facilitate best practices, achieving quality clinical, financial, and member satisfaction outcomes. Must be able to work in our Corporate office located in Orange, CA.

Responsibilities

• Work within an interdisciplinary team to facilitate the patient plan of care.
• Ensure appropriate utilization management.
• Coordinate care and resource utilization.
• Maintain clinical documentation.
• Assess, plan, implement, evaluate, and communicate the patient care plan progression.
• Advocate for members and their families.
• Coordinate with internal partners and outside agencies.

What This Job Offers

• Industry: Insurance Carriers and Related Activities
• Number of Employees: 11-50 employees