Registered Nurse Case Manager

Are you an experienced Registered Nurse Case Manager looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Daily Responsibilities:

• Performs telephonic member assessment to determine if criteria met for enrollment into CCM. 80% in-office & 20% field-based (on occasion)
• Initial assessment of members’ health status including condition-specific issues.
• Documentation of clinical history, including medications.
• Initial assessment of activities of daily living (ADL).
• Initial assessment of mental health status, including cognitive functioning.
• Initial assessment of life planning activities.
• Evaluation of cultural and linguistic needs, preferences or limitations.
• Evaluation of caregiver resources.
• Evaluation of available benefits.
• Development of a case management plan, including long and short-term goals.
• Identification of barriers to meeting goals or complying with the plan.
• Development of a schedule for follow-up and communication with the member.
• Development and communication of self-management plans for members.
• Process to assess progress against the case management plans for members.

Hours for this Position:

M-F 8a - 5p

Pay rate:

$30- $35/hr, plus $0.57 cent mileage reimbursement, computer and cell phone allowance

Benefits:

Health, Dental, Vision

• Must be licensed Registered Nurse in the state of California, clear and active.
• 3+ years experience in High-Risk/Complex Case Management.
• 3+ years experience in acute care setting.
• Knowledge of Medicare, Medi-Cal, DHS, MRMIB, DMHC and NCQA regulations.
• Clear & Active Driver's License

Interested in being considered? Click the green I'M INTERESTED button to submit your updated resume. Interviews are being held this week!