Telephonic RN Case Manager – Special Needs Plan
Fully remote — work from anywhere in the U.S., Pacific Time hoursFull-Time
Salary77,905 - 116,858 USD per year
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Job Details
- Languages
- Bilingual (Spanish, Korean, Mandarin, etc.)
- Required Skills
- Microsoft Office
Requirements
- Active, unrestricted RN license in California (Non-Compact)
- Minimum 2 years of clinical nursing experience
- At least 1 year of case management experience
- Proficiency with Microsoft Office (Word, Excel, Outlook)
- Previous health plan or IPA experience
- Bachelor's Degree in Nursing (BSN)
Responsibilities
- Provide telephonic case management to medically complex and chronically ill members
- Conduct comprehensive health assessments and create individualized care plans
- Coordinate care with internal and external partners, including physicians and specialists
- Educate members and caregivers on disease management and preventive care
- Monitor member progress and advocate for timely, appropriate interventions
- Identify and help resolve service or access issues impacting care quality
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