Job Title: Case Manager
Target Compensation Range: $75,000 - $90,000/year, depending on level of relevant qualifications and experience.
About Us:
Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.
SUMMARY: Astiva Health Inc is looking for a highly energetic and collaborative ambulatory case manager. 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 in accordance with the Model of Care and CMS regulations. 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
EDUCATION and/or EXPERIENCE:
OTHER SKILLS and ABILITIES: Effective communication skills to manage a team. Ability to work both independently and, in team-oriented, collaborative environments.
BENEFITS:
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