RN Case Manager

4 weeks ago


San Jose, California, United States Santa Clara Family Health Plan Full time
Job Summary

The RN Case Manager is a key member of the Santa Clara Family Health Plan team, responsible for providing high-quality care coordination services to our members. As a RN Case Manager, you will work closely with healthcare providers, community agencies, and other stakeholders to ensure that our members receive the necessary care and support to achieve their health goals.

Key Responsibilities

* Conduct comprehensive clinical and psychosocial assessments to identify member needs and develop individualized care plans
* Coordinate care with healthcare providers, specialists, and community agencies to ensure seamless transitions and optimal outcomes
* Facilitate communication and collaboration among care team members to ensure that member needs are met
* Monitor and evaluate the effectiveness of care plans and make adjustments as needed

Requirements

* Active California RN license
* Minimum three years of experience in case management, discharge planning, or education
* Knowledge of managed care principles and practices
* Strong clinical knowledge and critical thinking skills
* Ability to work effectively in an interdisciplinary team environment

Working Conditions

The RN Case Manager will work in a fast-paced office environment, with frequent contact with and interruptions by co-workers, supervisors, and plan members or providers. The incumbent must be able to perform the essential functions of this job, with or without reasonable accommodation.
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