Licensed Nurse Care Manager, Adult

New
Resides in California, 9AM-6pm PSTFull-TimeMiddle
Salary not disclosed
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Job Details

Experience
5+ years of experience in nursing, 2+ years experience working in care management
Required Skills
HIPAA

Requirements

  • Bachelor of Science in Nursing (BSN).
  • 5+ years of experience in nursing.
  • 2+ years experience working in care management.
  • Must reside and be based in California.
  • Active California Nursing License.
  • Willingness to become (and maintain) licensure in multiple states.
  • Work schedule 9AM-6pm PST.
  • Experience working remotely and ability to use multiple computer/medical record systems.
  • Strong ability to gather clinical history, answer questions at a patient level, and summarize findings.
  • Knowledge of HIPAA regulations.

Responsibilities

  • Deliver coordinated, patient-centered virtual Care Management by telephone or video that improves members' health outcomes.
  • Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
  • Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
  • Partner with the members' local providers to ensure coordinated care.
  • Provide compassionate, longitudinal follow-up care, building supportive relationships.
  • Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
  • Coordinate necessary resources that holistically address members' problems, whether clinical or social
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