You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a Case Manager who will be responsible for conducting comprehensive assessments, developing and managing individualized care plans, conducting member outreach, and ensuring documentation and compliance. Primary goals include identifying members who may require case management, creating care plans in collaboration with medical professionals, and providing educational support to members.

Responsibilities / Job Duties

• Complete comprehensive assessments by evaluating members’ medical, social, and behavioral needs.
• Identify members requiring case management using clinical judgment and assessment triggers.
• Develop and manage individualized care plans with members, caregivers, physicians, and other care professionals.
• Continuously monitor, update, and adjust care plans as needed based on member progress.
• Conduct regular telephonic and virtual/in-person visits and maintain an active caseload.
• Provide care coordination and support continuity across medical and behavioral services.
• Educate and support members using motivational interviewing and clinical guidelines.
• Document assessments, care plan updates, and interventions according to required standards.

Minimum Education and Experience Qualification Requirements

Education

• Must hold either RN or LVN credential in California.

Qualifications

• Must be bilingual in Korean.
• 2-3 years of experience in case management, disease management, managed care, or medical or behavioral health settings preferred.
• High level of critical thinking and problem-solving skills.
• Effective communication skills including verbal and written.
• Ability to manage time effectively and work independently in a fast-paced environment.
• Strong work ethic and overall positive attitude.
• Demonstrated flexibility, organization, and self-motivation.

Experience

• Medicare Case Management experience and knowledge of SNP programs are highly preferred.

Skills

• Must be either an LVN or RN in CA.
• Must be bilingual in Korean.

Schedule / Shift

• Type: Full time, Direct Hire
• Schedule: M-F 8am-5pm

Additional Requirements

• Primarily work from home but must be flexible to attend member events about 1-2 times per quarter in Southern California.
• Must be local to either East LA or North Orange County.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Care Management division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, access and handling of patient medical records, providing medical care inside a patient’s residential address, driving, prescription and other drug access and administration, and working with vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.