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 Telephonic Case Manager to provide telephonic case management to medically complex and chronically ill members. Responsibilities include conducting comprehensive health assessments, creating individualized care plans, coordinating care with partners, and providing clinical/disease state education.

Responsibilities / Job Duties

• Provide telephonic case management to medically complex and chronically ill members.
• Conduct comprehensive health assessments and create individualized care plans.
• Coordinate care with internal and external partners.
• Conduct ICT/IDT meetings presenting members to nurse practitioners/RMOs and social workers.
• Provide clinical/disease state education on topics such as CHF, A1C, medications, and labs.
• Identify gaps in care and resolve service/access issues.
• Make approximately 30–40 calls daily, spending 3–4 hours on the phone.
• Document directly in AVA care plan system.
• Delegate non-clinical coordination tasks to assigned Care Coordinators.

Minimum Education and Experience Qualification Requirements

Education

• Bachelor's Degree in Nursing (BSN)
• RN License

Qualifications

• Fully bilingual/fluent in Spanish.
• 1 Year of Case Management Experience.
• 2+ years clinical RN exp
• Familiarity with Medicare Advantage / Medicaid vs. Medicare.
• Must have strong verbal communication skills.
• Self-motivated with good computer skills, including self note-taking.

Schedule / Shift

8:00am - 5:00pm, Monday-Friday, PST with a one-hour lunch break. Fully Remote. Must have an RN license in California and a HIPAA compliant work space. May work from anywhere in the U.S., but must work Pacific Time hours.

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.

Required Employment / Compliance Language

Please note that employment with Medix is subject to verification of employment eligibility in accordance with federal regulations. Requirements include submitting to a background check and drug screening.

^*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.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

^*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.