Re-Admissions Nurse Case Manager

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🔥 2 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $35 - $40 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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MedPOINT Management

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1988

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

MedPOINT Management is a California-based healthcare management services organization that supports independent practice associations (IPAs), provider networks, hospitals and contracted health plans with clinical quality, care management, administrative operations and technology solutions. For more than 32 years MPM has provided services including provider network operations, case management, utilization management, claims operations, credentialing, HEDIS/STARs quality measurement and analytics (via Cozeva), call center and financial management, and digital provider portals and resource libraries. The company emphasizes data security and compliance (SOC 2 and HITRUST e1 certifications for its EZ-CAP and Provider Web Portals) and focuses on enabling value-based care, quality improvement, and operational support for providers and payers.

📋 Description

• Monitor and manage high-risk patients post-discharge to prevent unnecessary hospital readmissions • Coordinate care transitions between hospitals, skilled nursing facilities, and outpatient providers • Conduct telephonic and in-person patient assessments to identify barriers to care and social determinants of health • Collaborate with interdisciplinary care teams including physicians, social workers, and utilization management staff • Develop and implement individualized care plans focused on reducing readmission risk • Track and document case management activities in electronic health record (EHR) systems • Educate patients and caregivers on discharge instructions, medication adherence, and follow-up care

🎯 Requirements

• Active RN or Licensed Clinical Social Worker (LCSW) license in the state of California • 2+ years of case management, utilization management, or discharge planning experience • Strong knowledge of managed care, IPA, or health plan operations preferred • Experience with care transitions, readmission reduction programs, or chronic disease management • Proficiency with EHR/case management software and Microsoft Office Suite • Excellent communication, critical thinking, and organizational skills • CCM (Certified Case Manager) certification is a plus

🏖️ Benefits

• 401(k) • 401(k) matching • Bonus based on performance • Company parties • Dental insurance • Free food & snacks • Health insurance • Opportunity for advancement • Paid time off • Parental leave • Training & development • Vision insurance • Wellness resources