RN Care Manager - CA Licensed
Core
Support senior patients across the care continuum through scheduled visits and asynchronous proactive outreach and care coordination.
Role type
Senior RN Care Manager
Builds
High-quality, whole-person care for senior patients
Domain
Healthcare / Geriatrics
Required skills
Licensed RN in CA, geriatric assessment, care plan reinforcement, chronic disease management, medication reconciliation, advance care planning, care coordination, community resource coordination, motivational interviewing
Preferred skills
MSN, care management, value-based care, population health, knowledge of Bay Area healthcare landscape
Technologies
Electronic health records, video conferencing tools
Responsibilities
Conduct independent nursing visits (in-person, video, remote) focusing on prevention and chronic disease follow-up; Coordinate with primary care providers and health navigators on follow-up care; Attend case conferences and team huddles; Coordinate with community resources including home health and specialists; Identify and act on open care gaps including screenings and fall risk assessments.
Seniority
Mid-Senior level, hands-on IC