Case Manager - LVN/RN (ACO) *Hybrid*

Health Services Monterey Park, California


Description

Job Title: Case Manager 
Department: Health Services - ICM

About the Role:

Astrana Health currently seeking a highly motivated Case Manager. This role will report to a Manager - Case Management and will enable us to continue to scale in the healthcare industry, focusing on supporting the APA ACO SNF population.

What You'll Do:
  • This case manager position is to support the APA ACO inpatient SNF admissions. Currently, there has been an initiative for the HMO IP CM team to support the APA ACO team under the direction of Dr. Patrick Pham for SNF admissions to manage the bed days and average length of stay as well assisting in coordinating the care to our preferred APA ACO providers.
  • The problems that we are bringing this person to solve is coordinating the care to our preferred providers upon discharge as well as monitoring the care of our members during the SNF stay with the support of our SNFist, and also control the bed days and average length of stay of the admission.
  • This person should be successful in directing our APA ACO members to our preferred providers upon discharge along with decreasing the utilization of SNF bed days within the next 60 days
  • The new hire's main daily responsibilities will be to follow the SNF admissions at our contracted SNF for APA ACO members along side our SNFist, will coordinate care upon discharge and direct the discharge needs to our preferred providers (i.e, Home Health, DME etc.). This person will be responsible for initial and concurrent review of all APA ACO SNF admissions.
Qualifications:
  • Active Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license in California
  • Ability to commute to our Monterey Park, CA office
  • Experience using Microsoft applications such as Word, Excel and Outlook
  • Two (2) years of clinical experience as an LVN
  • Skilled Nursing Facility experience a plus
You're great for this role if:
  • Excellent analytical critical reasoning
  • Proven ability to prioritize multiple responsibilities simultaneously in a fast-paced, changing environment while meeting deadlines
  • Ability to educate and train staff members and other departments as needed
  • Experience using EZCAP
  • Strong communication and customer service skills
  • Punctual, Creative, self-motivated.
  • Professional appearance and conduct.
  • Conceptual and “big picture” understanding.
  • Able to function independently under time constraints.
  • Willing to learn and develop new responsibilities and skills.
  • Good organization, critical thinking and problem solving skills.
  • Must be detail-oriented and able to work autonomously but also as a team member.
  • Have experience in SNF case management
Who We Are: 
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. 
 
Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system. 
 
Our Values: 
  • Put Patients First 
  • Empower Entrepreneurial Provider and Care Teams 
  • Operate with Integrity & Excellence 
  • Be Innovative 
  • Work As One Team 
Environmental Job Requirements and Working Conditions: 
  • Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Drive., Monterey Park, CA 91754.
  • The total compensation target pay range for this role is: $28.00 - $45.00 per hour. The salary range represents our national target range for this role. 
 
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation. 
 
Additional Information: 
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. 
 
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