California Licensed Case Management Coordinator

Job Summary

Providing case management services to a limited caseload of low-risk patients, the full-time California Licensed Case Management Coordinator will evaluate patient needs, coordinate resources, and develop client-focused care plans while working remotely.

Key responsibilities:

• Coordinate with patients and caregivers to assess needs, determine eligibility, and develop comprehensive case management plans
• Monitor patient progress towards treatment goals and ensure continuity and quality of care through regular assessments and documentation
• Facilitate referrals and access to services, collaborating with healthcare teams to address barriers and ensure adherence to regulatory guidelines

Required qualifications:

• Bachelor's degree in Nursing or a related field, or a minimum of three years of experience in case management or a directly related field
• Experience in coordinating care and developing case management plans
• Knowledge of healthcare regulations and accreditation standards
• Ability to work collaboratively with multidisciplinary teams and communicate effectively with patients and caregivers
• Familiarity with medical necessity assessments and authorization processes