RN Case Manager
New
Z
Zócalo HealthHealthcare
Remote Work can be done from anywhere in the U.S.Full-TimeMiddle
Salary$85,000
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Job Details
- Languages
- Fluency in English and Spanish, including the ability to communicate effectively both verbally and in writing.
- Experience
- 3+ years
Requirements
- Active Registered Nurse license in California.
- 3+ years of nursing experience in care management, case management, population health, home health, primary care, managed care, or related settings.
- Experience managing medically complex and high-risk populations.
- Strong understanding of care coordination, utilization management, transitions of care, and chronic disease management.
- Excellent communication and relationship-building skills.
- Ability to work effectively in interdisciplinary and remote care environments.
- Fluency in English and Spanish, including the ability to communicate effectively both verbally and in writing.
Responsibilities
- Conduct comprehensive clinical assessments and identify medical, behavioral, and social barriers to health.
- Develop, implement, and monitor individualized care plans for high-risk members.
- Manage a panel of members with complex healthcare needs across multiple settings and providers.
- Coordinate transitions of care following emergency department visits, hospitalizations, and skilled nursing stays.
- Collaborate closely with Community Health Workers to ensure members receive both clinical and community-based support.
- Identify gaps in care and proactively intervene to prevent avoidable utilization and adverse outcomes.
- Provide health coaching, disease management education, medication support, and self-management training.
- Participate in interdisciplinary care team meetings and case reviews.
- Maintain accurate documentation and regulatory compliance requirements associated with ECM and related programs.
- Support quality, utilization, and member outcome goals established by the organization and health plan partners.
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