The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.
Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.
The Case Manager, LVN is an integral part of Dignity Health Management Services Utilization Management team. The Utilization Management team improves the quality of clinical outcomes for members with complex care needs by coordinating care within the health care delivery system using a collaborative partnership approach. The Case Manager, LVN coordinates care and collaborates with multiple disciplinary team members across the continuum of care. The Case Manager, LVN implements the care plan collaborating with the RN and SW to identify patient knowledge gaps concerning disease management, and coordinates appropriate resources or services required to meet an individual's health needs.
- 5 years experience working in a medical facility, hospital, or other healthcare related environment.
- Clear and current CA LVN license.
- Valid CA driver's license, current DMV printout and insurance required.
- Basic knowledge of CPT and ICD9/ICD10 coding.
- General knowledge of Microsoft Office applications; Excel, Word, Outlook
- Managed care experience preferred.
- Two (2) years experienced working with a medical group or IPA preferred.
- Bachelors of Science in Nursing or other clinical advanced degree preferred.
- Certified Case Manager
- Experience with DHMSO Online, QNXT, desired.
relevant skills: lvn, licensed vocational nurse, prior auth, prior authorization, concurrent review, utilization management, case management, care coordination
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