CA Licensed Nurse Care Manager, Adult
Core
Telephonic Nurse Care Manager guiding members through complex medical and behavioral health situations via telephone or video to deliver integrated remote care.
Role type
Senior IC nurse care manager (case management)
Builds
Cohesive care plans and longitudinal care pathways for members with complex conditions
Domain
Healthcare / Health Plan / Case Management
Deliverable
client delivery
Required skills
Clinical nursing expertise, care plan creation, benefits navigation, acute case management, provider coordination, resource coordination, HIPAA compliance, medical record system proficiency
Preferred skills
CCM certification, Spanish language, remote work experience
Technologies
Multiple computer/medical record systems
Responsibilities
Deliver coordinated virtual care management by telephone or video; Create impactful care plans with members and the care team; Help members navigate complex medical conditions, treatment pathways, and the healthcare system; Partner with local providers to ensure coordinated care; Provide compassionate longitudinal follow-up care; Assist during acute healthcare episodes like hospitalizations and rehabilitation stays.
Seniority
Mid-to-Senior, hands-on IC
