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Travel Nurse RN

1 month ago


Orange, California, United States talent4health Full time
Job Summary

CalOptima Health is seeking a highly motivated and experienced Registered Nurse (RN) to join our team as a Medical Case Manager. As a key member of our Case Management team, you will be responsible for providing ongoing case management services to our members, ensuring the delivery of high-quality, cost-effective care.

Key Responsibilities
  • Assess member needs using standardized health needs assessments and health risk assessments.
  • Perform comprehensive, disease-specific clinical assessments of identified cases, including assessment of member's physical, functional, social, and psychological status, cultural and linguistic needs, caregiver resources, and available benefits.
  • Develop and implement member-specific care plans, including prioritized SMART goals, and review, modify, and update care plans continuously to reflect member's needs.
  • Coordinate care and services with members, family members/representatives, and other providers, including community supports and Long-Term Services and Supports (LTSS).
  • Communicate with member's physicians, specialists, community agencies, and vendors to ensure coordination of services.
  • Facilitate referrals to behavioral health/substance use disorder services and identify and make referrals to LTSS department, community supports, and community resources.
Requirements
  • Current, unrestricted Registered Nurse (RN) license to practice in the state of California required.
  • Associate degree in nursing (ADN) or related field required, plus 3 years of clinical experience required and/or managed care experience required.
  • Preferred qualifications include Bachelor of Science in Nursing (BSN) degree or related field, Case Management Certification (CCM), and bilingual in English and one of CalOptima Health's defined threshold languages.
Work Environment

Work is typically indoors and sedentary, with schedule changes and/or variable work hours, and travel as needed.

There are no harmful environmental conditions present for this job.

The noise level in this work environment is usually moderate.