Inpatient UM Nurse Case Manager

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🔥 20 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $38 - $42 / 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

• Conduct comprehensive assessments of patients to determine care needs. • Collaborate with healthcare providers to develop and implement care plans. • Monitor patient progress and adjust care plans as necessary. • Facilitate communication between patients, families, and healthcare teams. • Ensure compliance with regulatory and accreditation standards. • Educate patients and families about treatment options and resources. • Document all case management activities in accordance with policies. • Participate in quality improvement initiatives and team meetings.

🎯 Requirements

• Active RN license in California with a minimum of 2 years nursing experience. • Experience in case management or utilization management preferred. • Strong clinical assessment and critical thinking skills. • Excellent communication and interpersonal skills. • Ability to work collaboratively in a fast-paced environment. • Knowledge of healthcare regulations and managed care principles. • Certification in Case Management (CCM) is a plus. • Proficient in electronic health records and documentation practices.

🏖️ Benefits

• 401(k) • 401(k) matching • Dental insurance • Health insurance • Vision insurance • Wellness resources • Company parties • Opportunity for advancement • Paid time off • Parental leave • Savings bank • Training & development