RN Outpatient Case Manager (Cardiac)

Position Summary:

 

This individual will be accountable for providing clinical care management and coordination support to high-risk members with cardiovascular related diagnosis/conditions in the Northwest Region of Regal Medical Group (Regal). This position is embedded in a cardiology clinic and supports members enrolled in Regal cardiovascular disease management programs in order to reduce preventable healthcare utilization in the assigned population.

 

Responsibilities include providing direct patient assessments, care management, coordination of services, and triaging to appropriate clinical and non-clinical resources available to Regal members, including social and behavioral health resources. The Cardiovascular RN will support the management of members identified across the continuum of care, including newly diagnosed individuals and those with recent hospitalizations, to the point of sustained clinical stabilization. There will be a strong focus on management of members with congestive heart failure.

 

Essential Duties and Responsibilities include the following:

• Provides on-site clinical care, care management and coordination for Regal members seen in the Heart Medical Group cardiology practice, specifically those enrolled in Regal cardiac management programs.
• Supports execution of plan of care for Regal members seen in the cardiology clinic, with a special focus on patients enrolled in Regal cardiovascular condition management programs.
• Assist in consultation and counseling of members, caregivers and their families.
• Support clinical interventions to assist member in regaining optimal functioning.
• Works with Regal pharmacy staff to support members’ medication management
• Monitors effectiveness of interventions and communicates changes in plan of care as needed to help meet the needs of the member
• Participates in interdisciplinary team discussions related to members served by Regal cardiovascular condition management programs to support ongoing care management.
• Collaborates with the Regal interdisciplinary care team to identify necessary resources needed in caring for the member.
• Adheres to evidenced-based clinical guidelines
• Appropriately documents all care provided in accordance with company and regulatory requirements.
• Identifies and links members to appropriate follow-up for clinical and non-clinical supports and services within Regal NW, including social and behavioral services.
• Adhere to group/health plan guidelines and protocols.
• All other duties as directed by management.

The pay range for this position at commencement of employment is expected to be between  $45 - $50 per hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

 

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

 

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

 

If hired, employee will be in an “at-will position” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

 

As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

 

Full Time Position Benefits:

 

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization, but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.