Case Management RN
Join our team as a Case Management RN, where you'll play a key role in coordinating patient care, advocating for patient needs, and serving as a trusted resource throughout the continuum of care.
In this role, you will coordinate interdisciplinary care plans, monitor patient progress, and serve as a liaison between patients, healthcare providers, and insurance partners to ensure effective, patient-centered care. You will develop and implement care management plans that connect patients with appropriate resources, support compliance with medical recommendations, and address ongoing healthcare needs. The position also provides professional nursing triage services and health guidance by phone, as well as on-call support in accordance with agency guidelines.
This is a full-time remote position; however, candidates must reside in San Diego County.
Schedule: Four 10-hour shifts per week (4/10s)
Available Rotations:
Option Rotation #1
- Week 1: Monday, Wednesday, Friday, Saturday
- Week 2: Monday, Tuesday, Wednesday, Thursday
Option Rotation #2
- Week 1: Monday, Tuesday, Wednesday, Friday
- Week 2: Tuesday, Thursday, Friday, Saturday
In this role, you'll get to:
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Provide professional, comprehensive telephonic nursing assessment, evaluation, education, and advice to patients in accordance with agency protocols.
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Participate in health center efforts to achieve established goals related to productivity, quality metrics, and revenue cycle performance.
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Manage lab and imaging results, referrals, prescription refills, prior authorizations, and other patient follow-up activities in accordance with agency medical protocols and case management policies and procedures.
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Support timely completion of patient calls and follow-up activities while delivering high-quality, patient-centered care and maintaining operational efficiency.
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Maintain current knowledge of agency and department policies, protocols, procedures, regulatory requirements, and best practices.
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Coordinate ongoing patient care needs and collaborate with providers, clinical staff, and external partners to ensure continuity of care.
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Serve as a patient advocate by helping patients navigate healthcare resources, understand treatment plans, and access appropriate services.
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Participate in on-call responsibilities in accordance with agency guidelines.
What we're looking for:
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Active California RN license.
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At least one year of experience working as a Registered Nurse.
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At least one year of experience in Women's Healthcare.
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Willingness to complete orientation in both surgical and family planning settings to gain a thorough understanding of clinic operations and patient care workflows.
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Strong communication, critical thinking, patient advocacy, and independent work skills in a remote environment
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Must reside in San Diego County.
As published by lever · 13 questions · 5 written answers
Basics
Resume/CV, Full name, Pronouns, Email, Phone, Current location, Current company, LinkedIn URL, Other website
Pick from a list (8)
- If hired, can you provide verification of US citizenship or your legal right to work in the US?
- Did someone else refer you to this position?
- What is your preferred method of communication? optional
- At Planned Parenthood, we are working toward a world where: i. Abortion is understood as a basic human right, an essential part of healthcare, and a normal part of life. ii. All people can talk openly about abortion with sensitivity to the complexity and nuances of individual experiences. iii. Every person is able to make personal decisions about abortion based upon their own beliefs and values. Regardless of your personal beliefs, are you able to perform the essential functions of the job to work with us towards this vision?
- Applicant Statement: I certify that all statements made in this application are true and correct to the best of my knowledge. In the event I am selected to move forward in the recruitment process I authorize Planned Parenthood of the Pacific Southwest (PPPSW) to contact and review any and all sources deemed appropriate to consider my application. I understand that if I become employed by PPPSW, my position will be represented by SEIU-UHW (Service Employees International Union – United Healthcare Workers West) and covered by a collective bargaining agreement.
- Do you have 1 year of experience in Womens Health? optional
- Do you have experience with telephonic triage and/or patient referral? optional
- Please indicate which schedule rotation you are interested in: optional
Written answers (5)
- Tell us why you are interested in working for Planned Parenthood.
- If yes, who referred you? optional
- If no, how did you hear about this position? optional
- Address: No. and Street, City, State, Zip Code
- What name would you like us to call you? optional