RN, Care Management (SCAN Temp)
Core
Provide telephonic care management and disease management for frail seniors to help them age in place, manage chronic conditions, and navigate the healthcare system.
Role type
Senior Registered Nurse (RN) Care Manager
Builds
Person-centered care plans and health education strategies for Medicare/Medi-Cal members
Domain
Healthcare / Senior Care / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical reasoning, evidence-based guideline evaluation, interdisciplinary collaboration, chronic disease management, regulatory compliance (CMS/DHCS), telephonic assessment, care plan development
Preferred skills
Leadership, strategic planning, problem solving, critical thinking, remote work experience, senior care experience
Technologies
Electronic health records systems, care management platforms
Responsibilities
Perform initial and annual telephonic assessments for dually eligible members; Develop and implement care plans for specific populations (homeless, at-risk for hospitalization, nursing facility transitions); Provide health education and coaching to prevent ER visits and hospital admissions; Participate in interdisciplinary case conferences; Ensure timely and accurate documentation across multiple systems.
Seniority
Senior, hands-on IC