
Posted 25 days ago
CA Based Licensed Nurse Care Manager, Adult
ModestoRemoteFull-time
AI Summary
A California-based licensed Nurse Care Manager delivers telephonic and virtual care management, creating care plans, navigating medical and behavioral health needs, and coordinating resources for members.
About this role
We're looking for California Based Nurse Care Managers for our Care and Case Management team, who resides in California and holds a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). Are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in a creative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.
#LI-Remote
Responsibilities:
Qualifications:
Physical/Cognitive Requirements
Skills
BSNCare ManagementCase ManagementDisease ManagementEMRHIPAARemote Care CoordinationRN LicenseSpanishTelephonic Care
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