Job Description
About Us:
We are a community-focused health and care provider dedicated to enhancing the well-being of individuals who need it most. Our mission is to break down barriers to health and deliver care right in the community, and whenever possible, within the comfort of home. We believe that effective healthcare goes beyond treating symptoms—it's about understanding and addressing the unique needs of each individual.
We are committed to providing care that is mindful of race, culture, and environment. Our approach is to build a culture of empathy and understanding, ensuring that every patient receives the care they deserve. By focusing on local physicians, nurses, and caregivers, we aim to improve health outcomes and support communities effectively.
About the Role:
As an RN Case Manager, you'll play a crucial role in our interdisciplinary team, working to achieve the best outcomes for individuals managing chronic conditions. You will be responsible for developing and implementing care plans, utilizing advanced tools and strategies to monitor and manage patient health. Your efforts will contribute directly to our mission of providing high-quality, community-based care.
Key Responsibilities:
Collaborate with an interdisciplinary team to ensure high-quality care for individuals with chronic conditions.
Develop and manage care pathway templates and Member Action Plans, using data-driven approaches to improve patient outcomes.
Deploy and oversee remote patient monitoring and self-reporting tools for high-risk chronic conditions.
Conduct in-home or telehealth assessments as needed, responding to real-time alerts and communicating with members and caregivers.
Provide care coordination, including patient navigation, chronic disease management, and interdisciplinary collaboration.
Engage patients in proactive health management, including medication, treatment, and follow-up appointments.
Utilize electronic medical records and care management platforms to support care coordination and maintain accurate documentation.
Participate in team-based rounds to contribute to program design and continuous improvement.
Qualifications:
Active Registered Nursing license in California; BSN required.
At least 5 years of relevant clinical experience, with 3+ years in care management within health plans, home health, or hospice preferred.
Ability to work independently, initiate change, and innovate within the role.
Strong communication skills, both verbal and written, with the ability to present complex concepts clearly.
Proven ability to build and maintain relationships with patients, community leaders, and external partners.
Good judgment, impeccable ethics, and a strong team player attitude.
Experience with evidence-based care guidelines and electronic medical records.
Working Environment:
This role involves both in-home and office-based work, including frequent travel for home visits, physician offices, and other community locations.
Requires the ability to travel by car or public transportation, communicate effectively with various stakeholders, and handle office tasks such as document preparation and equipment use.
Must be able to lift up to 30 lbs occasionally and work comfortably in diverse weather conditions.
Why Join Us?
We are committed to creating a supportive and inclusive work environment where our team members can thrive. If you are passionate about making a difference in the lives of those in need and eager to contribute to a forward-thinking organization, we encourage you to apply.
Employment Type: Full-Time
Salary: $ 86,000.00 90,000.00 Per Year
Job Tags
Full time, Local area, Home office,