Clinical Case Manager RN

2 weeks ago


French Camp, Mississippi, United States Health Plan San Joaquin Full time
Job Title: Clinical Case Manager RN

We are seeking a highly skilled and compassionate Clinical Case Manager RN to join our team at Health Plan San Joaquin. As a key member of our healthcare team, you will play a vital role in ensuring our members receive the highest quality care and support.

Job Summary:

The Clinical Case Manager RN will be responsible for conducting case management activities on assigned members, assessing and evaluating their care needs, and developing individualized care plans to ensure optimal health outcomes. This role requires strong clinical skills, excellent communication and interpersonal skills, and the ability to work effectively in a fast-paced environment.

Key Responsibilities:
  • Conduct case management activities on assigned members, including assessments, evaluations, and care plan development.
  • Assess and evaluate members' care needs, identifying opportunities for improvement and developing strategies to address them.
  • Develop and implement individualized care plans that meet members' unique needs and goals.
  • Collaborate with members, their families, and external resources to ensure understanding and compliance with care plans.
  • Monitor and evaluate progress, making adjustments to care plans as needed.
  • Document activities and outcomes in accordance with Health Plan San Joaquin's standards and regulations.
Requirements:
  • Graduation from an accredited nursing school.
  • At least three years of clinical experience as an RN in a hospital or clinic.
  • At least three years of experience in case management, utilization management, or discharge planning.
  • Unrestricted California Registered Nurse license.
Preferred Qualifications:
  • Experience as a clinician in a managed care setting.
  • Experience working with Medi-Cal and/or Medicare populations.
  • Certified Case Manager Designation.
What We Offer:

Health Plan San Joaquin offers a competitive salary, robust benefits package, and opportunities for professional growth and development. We are committed to creating a diverse and inclusive work environment that values and respects the contributions of all employees.

We are an equal opportunity employer and welcome applications from qualified candidates who share our commitment to excellence and our values of compassion, integrity, and respect.



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