RN Case Manager

Are you an experienced Registered Nurse Case Manager looking for a new opportunity with a prestigious healthcare company? Do you have care planning and discharge experience in Nursing? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities: 

Performs telephonic member assessment to determine if criteria met for enrollment into CCM. 

Initial assessment of members’ health status including condition-specific issues.

Documentation of clinical history, including medications.

Initial assessment of activities of daily living (ADL).

Initial assessment of mental health status, including cognitive functioning.

Initial assessment of life planning activities.

Evaluation of cultural and linguistic needs, preferences or limitations.

Evaluation of caregiver resources.

Evaluation of available benefits.

Development of a case management plan, including long and short-term goals.

Identification of barriers to meeting goals or complying with the plan.

Development of a schedule for follow-up and communication with the member.

Development and communication of self-management plans for members.

Process to assess progress against the case management plans for members.

Hours for this Position:

M-F 8:30-5p (1 hour lunch)

Advantages of this Opportunity:

Competitive salary

Fun and positive work environment

MUST be RN

3+ years experience in High-Risk/Complex Case Management.

3+ years experience in acute care setting.

Knowledge of Medicare, Medi-Cal, DHS, MRMIB, DMHC and NCQA regulations.

Clear & Active Driving License

Interested in being Considered?

If you are interested in applying to this position, please click Apply Now