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Desert Oasis Healthcare
Palm Springs, CA | Full Time
$67k-85k (estimate)
4 Months Ago
Clinical Resource Specialist I
Desert Oasis Healthcare Palm Springs, CA
$67k-85k (estimate)
Full Time | Ambulatory Healthcare Services 4 Months Ago
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Desert Oasis Healthcare is Hiring a Clinical Resource Specialist I Near Palm Springs, CA

The Clinical Resource Specialist I (CRSI) will review, access and facilitate member entry into programs that are provided by Desert Oasis Healthcare. The Clinical Resource Specialist I will provide these services throughout the continuum of care to include but not limited to home, skilled nursing facility, primary care, provider visits, specialty care, or acute setting visits. The Clinical Resource Specialist I primary goal is compressing time lines so that transitions between levels of care are maximized.
  • The position will maintain a revolving case load of 30 members that need to be evaluated for special programs within the organization.
  • The CRSI utilizes clinical judgment, independent analysis, critical thinking skills and detailed knowledge of medical policies, clinical guidelines and plan benefits to achieve smoother transitions of care along the healthcare continuum.
  • Assist with the development and implementation of care plan for members. This development may occur both during and outside of formal Interdisciplinary Care Team (ICT) meetings. It is the expectation that the CRSI will attend these planned meetings at least monthly.
  • The CRSI will document and communicate effectively Problem, Intervention and Plan within the current Electronic Medical Record. This documentation must meet the needs of the medical group by supporting the requirements mandated by the health plans in order to meet routine audits.
  • Act as a resource to medical group personnel and provider network in identifying available community resources and clinical services program options.
  • Act as the liaison between the Member, the Primary Care Physician and others within the Members ICT. Helping to ensure that necessary information is shared to facilitate well-informed health care decision making and care plan goal attainment.
  • Addressing with Members during interactions the importance of preventative care and the need for appropriate follow up with those Health Care Professionals rendering health care with focus on needed quality measures.
  • Provide outreach to new members to medical group in order to assess healthcare needs as assigned.
  • Provide informational services to those assigned members with focus on points of entry into health care services. (i.e. Primary Care Provider, Immediate Care, Member Services).
  • Perform other duties as assigned.
(10518)
  • Current California RN License.
  • A minimum of 5 years recent acute hospital experience, including experience with telemetry as well as a broad knowledge of the various nursing disciplines. Minimum 2 years previous experience in management or leadership role preferred. Prior experience in chart review and analysis required.
  • Must possess an extensive understanding of varied diagnostic and invasive procedures and the ability to anticipate care plan changes based on their findings.
  • Ability to communicate professionally and interface assertively with Physicians.
  • Must be detail oriented and able to continually re-prioritize multiple tasks.
  • California driver's license and proof of automobile insurance.
  • BLS required within 60 days of hire.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$67k-85k (estimate)

POST DATE

01/20/2024

EXPIRATION DATE

05/14/2024

WEBSITE

mydohc.com

HEADQUARTERS

INDIO, CA

SIZE

200 - 500

FOUNDED

1981

CEO

RANDY VAUGHN

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

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About Desert Oasis Healthcare

Desert Oasis Healthcare is committed to the provision and facilitation of the highest quality medical care to the residents of the desert communities. We will strive to be an organization which provides excellence in every encounter. As a result, we will be recognized by: Our patients as their care givers of choice; Our employees as their employer of choice; Our provider and health plan partners as their health care network of choice. Desert Oasis Healthcare is a non-discriminate (Religious, Cultural, Sexual, Ethnic) Health Care Provider. In 1981, Desert Medical Group Inc. introduced to the Co...achella Valley a full service medical facility, providing the community with all their health care needs from newborn to senior care. Today, we are Desert Oasis Healthcare - a team of highly skilled primary care physicians and ancillary providers with services conveniently located throughout the desert communities. Our many locations include Palm Springs, Bermuda Dunes, Indio, Rancho Mirage and Yucca Valley. Desert Oasis Healthcare's services include access to 4 Immediate Care Centers - Indio, Palm Desert, Palm Springs and Yucca Valley. We also offer an award winning Outreach Services Department that is committed to educating individuals on how to apply the principles of preventative health care in their daily lives, resulting in improved health. Desert Oasis Healthcare accepts most HMO's, private insurance, Medicare and private pay patients. We are affiliated with every hospital in the Coachella Valley, which includes Eisenhower Memorial Hospital, Desert Regional Medical Center, John F. Kennedy Memorial Hospital and Hi-Desert Medical Center More
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