CA Based & Licensed Nurse Care Manager, Adult
Core
Licensed Nurse Care Manager guiding members through complex medical and behavioral health situations via telephonic remote care to ensure excellent health outcomes.
Role type
Licensed Nurse Care Manager (Case Management)
Builds
Integrated remote care plans and coordinated case management for health plan members
Domain
Healthcare / Case Management / Behavioral Health
Deliverable
client delivery
Required skills
Clinical care planning, benefits navigation, acute case management, longitudinal follow-up, provider coordination, resource coordination, medical record system proficiency, HIPAA compliance
Preferred skills
Spanish language, multi-state licensure, remote work experience
Responsibilities
Deliver coordinated virtual care management by telephone or video, create impactful care plans with members, help members navigate complex medical conditions and the healthcare system, partner with local providers for coordinated care, provide compassionate longitudinal follow-up, assist during acute healthcare episodes like hospitalizations, coordinate necessary clinical and social resources
Seniority
Mid-level, hands-on IC