Bilingual RN Case Manager, SNP - Must have California RN License (Non-Compact) Remote
Core
Remote RN Case Manager responsible for health care management and coordination for members with complex and chronic care needs, utilizing the nursing process to close gaps in care and resolve barriers.
Role type
Senior RN Case Manager (Chronic Care)
Builds
Care management treatment plans and care coordination for chronically ill and frail seniors
Domain
Health Insurance / Senior Care / Chronic Disease Management
Required skills
RN licensure, care coordination, chronic condition management, care plan development, provider collaboration, assessment, self-management education, problem-solving
Preferred skills
Health Plan experience, BSN degree
Technologies
PC-based software (Word, Excel, PowerPoint)
Responsibilities
Coordinate care as a resource for members, families, and physicians; ensure access to appropriate care and facilitate referrals; complete comprehensive health assessments; collaborate on care plan implementation; provide education and self-management support; assist with problem-solving regarding claims or service issues; maintain confidentiality of PHI.
Seniority
Mid-level, hands-on IC