RN Care Management Leadership Role

5 days ago


Riverside, California, United States Heritage Health Network Full time
Job Summary:

Heritage Health Network is seeking a highly experienced and skilled Registered Nurse (RN) to lead our Enhanced Care Management (ECM) team as the ECM Care Team Leader. This pivotal role involves overseeing a multidisciplinary team of professionals, driving positive health outcomes through comprehensive and integrated care.

This dynamic RN leader will be responsible for leading outreach and engagement efforts with eligible ECM members, facilitating their enrollment in the program. Additionally, they will provide leadership and coordination to ensure a holistic approach to patient care, meeting with members in the community or at their homes to enhance care delivery.

Key Responsibilities:
  • Contact eligible ECM members to inform them about the program and facilitate their enrollment.
  • Lead the ECM Care Team, ensuring a comprehensive and integrated approach to patient care.
  • Meet with members in the community or at their homes to enhance care delivery and accompany members to medical visits and other appointments as requested.
  • Manage a caseload of 60-75 members, conducting comprehensive risk assessments and developing Patient-Centered Care Plans collaboratively with members.
  • Serve as the primary contact for members, coordinating access to care, services, and resources, and initiating or participating in case conferences with the member's primary care provider, clinical consultant, and/or other ECM team members.
  • Foster partnerships with healthcare providers and community-based organizations to facilitate the integration of healthcare, referrals, and access to community resources.

The ideal candidate will possess strong clinical skills necessary to assess, plan, implement, and evaluate patient care effectively. They will also have excellent communication and interpersonal skills, essential for working effectively within a multidisciplinary team. Familiarity with healthcare regulations, Medicare/Medi-Cal guidelines, and care management best practices is required. A dedicated commitment to providing patient-centered, culturally competent, and high-quality care is essential.



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