Clinical Case Manager

Posted Yesterday
Be an Early Applicant
Irvine, CA, USA
In-Office
85K-105K Annually
Mid level
Healthtech • Professional Services • Telehealth
The Role
Provide clinical case management and monitoring for participants in a Recovery/Intervention Program. Conduct biopsychosocial and ASAM assessments, ensure compliance with recovery agreements, coordinate care with providers and legal entities, respond to crisis calls, maintain detailed records, and testify at administrative hearings as needed.
Summary Generated by Built In

The RN Clinical Case Manager (CCM) is responsible for providing monitoring, case management, and continued assessment of the clinical needs, compliance, and progress of applicants and participants in the Intervention Program. As part of a team of Clinical Case

Managers and Compliance Monitors, the RN CCM plays a critical role in supporting medical professionals with substance abuse and mental health concerns seeking treatment and supportive services in pursuit of returning to safe practice within their chosen profession.

The RN CCM is responsible for gaining and maintaining a comprehensive knowledge of their assigned participants to support the CCM’s ability to accurately present case conceptualizations to licensing boards and committees. Information presented by the CCM is a crucial component

of these entities’ ability to make determinations on the steps necessary to return licensed healthcare professionals to safe practice.

What’s in it for you?

● Competitive salary commensurate with the importance of the role

● Medical, dental, and vision insurance

● 401k with 4% matching

● Free parking

Requirements:

● The CCM shall hold a current unrestricted California professional license as a physician

(MD or DO), registered nurse (RN).

● The CCM shall have a minimum of three (3) years’ experience in the treatment, referral,

and monitoring of substance abuse and mental illness in a clinical setting.

● Strong knowledge of case management principles and practices, particularly related to

recovery and compliance.

● Knowledge of contract language, including compliance and reporting requirements.

● Excellent communication skills, both verbal and written, with the ability to provide clear

testimony in administrative hearings.

● Ability to work independently, manage multiple cases, and maintain high professional

standards.

● Flexibility with regard to assigned responsibilities.

● Ability to accurately and comprehensively document services.

● Ability to work collaboratively within an interdisciplinary team.

● Professionalism and confidence in communication.

● ***Computer and technology literacy.***

Key Responsibilities:

● Conduct comprehensive Biopsychosocial (BPS) and risk assessments to evaluate

participants' physical, emotional, social, and psychological needs.

● Competence using ASAM Criteria to assess clinical level of care needs for individuals

with substance use disorders and other mental health concerns.

● Provide comprehensive case management services, ensuring that

applicants/participants remain compliant with their individualized Recovery Agreements.

● Actively monitor participants’ progress, providing support and resources for substance

abuse and mental health recovery.

● Collaborate with healthcare providers, counselors, and legal entities to maintain a

consistent approach to each case.

● Respond to crisis calls and provide appropriate interventions as required during

scheduled crisis line shifts.

● Maintain detailed and accurate records of all participant interactions and updates to

Recovery Agreements.

● Testify as needed at Board administrative hearings regarding substance abuse and

mental health matters.

About the Recovery Program:

The Recovery Program (also known as the Intervention Program) is an alternative to discipline

diversion program designed to assist professionals in their recovery from substance use

disorders, mental health challenges, or other conditions that may affect their ability to maintain

professional standards. The purpose of the Recovery Program is to ensure consumer

protection, to promote participants’ ongoing recovery, ensure professional accountability, and

provide a structure for continued monitoring and support.

Skills Required

  • Current unrestricted California professional license as a Physician (MD or DO) or Registered Nurse (RN)
  • Minimum of three years' experience in treatment, referral, and monitoring of substance abuse and mental illness in a clinical setting
  • Strong knowledge of case management principles and practices related to recovery and compliance
  • Competence using ASAM Criteria to assess clinical level of care needs
  • Knowledge of contract language, including compliance and reporting requirements
  • Excellent verbal and written communication skills, including ability to provide clear testimony in administrative hearings
  • Ability to independently manage multiple cases and maintain high professional standards
  • Ability to accurately and comprehensively document services and updates to recovery agreements
  • Ability to work collaboratively within an interdisciplinary team
  • Professionalism and confidence in communication
  • Computer and technology literacy
  • Ability to respond to crisis calls and provide appropriate interventions during scheduled crisis line shifts
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The Company
HQ: Newport Beach, CA

What We Do

Premier Health Group owns a diverse range of healthcare subsidiaries and operates as a healthcare services organization within the behavioral health and integrated care sector, striving to provide quality healthcare through coordinated care plans.

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