RN Care Manager - CA Licensed
Core
Support senior patients across the care continuum through scheduled visits, proactive outreach, and care coordination to improve health outcomes and manage chronic conditions.
Role type
Senior Registered Nurse (Care Management)
Builds
High-quality, whole-person care plans and care coordination for senior patients across multiple offices.
Domain
Healthcare / Geriatrics / Population Health
Required skills
Geriatric assessment, medication reconciliation, care plan reinforcement, chronic disease management, advance care planning, care coordination, community resource navigation, motivational interviewing, patient-centered communication
Preferred skills
Care management, value-based care, population health experience, knowledge of Bay Area healthcare landscape
Technologies
Electronic health records, video conferencing tools, telehealth platforms
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 for follow-up care; attend case conferences and team huddles; identify and act on open care gaps including screenings and functional status evaluations; collaborate with community resources like home health and specialists.
Seniority
Mid-Senior level, hands-on IC