RN Case Manager
3 days ago
HealthCare Talent is a leading provider of healthcare talent solutions.
Job Summary:The RN Case Manager is responsible for providing daily care coordination, case management, coaching, consultation, and intervention to patients with one or more chronic diseases.
The RN Case Manager identifies patients via provider/clinic referral, utilization management referral, disease registry reporting mechanisms, and patient self-referral.
Key Responsibilities:- Provide daily care coordination and case management to patients with chronic diseases
- Identify patients via provider/clinic referral, utilization management referral, disease registry reporting mechanisms, and patient self-referral
- Work in an office environment, climate controlled through air conditioning
- Ability to sit, stand, lift (up to 15 lbs), bend, walk, as required for carrying out duties of positions
- Excellent customer service skills and ability to resolve complex customer service issues and exercise conflict management
- Ability to read, write, and speak in a clear, accurate, and professional manner; includes active listening skills and understanding medical terminology
- Ability to complete basic/intermediate math computations and medical math conversions
- Proficient in beginning/intermediate computer skills and typing
- Excellent follow-through skills, multi-tasking, prioritization, and attention to detail
- Knowledge of the Case Management Process, Chronic Care Model, and Patient-Centered Medical Home Model (PCMH)
- Must be able to apply critical thinking skills and make sound judgment at all levels throughout the patient's continuum of care and make necessary referrals on behalf of P/P/C (Patient/Provider/Caregiver)
- Knowledge of regulatory requirements, health plan contracts, governmental benefits, and community resources
- Graduation from an accredited nursing program
- Current valid License as a Registered Nurse through the California Board of Registered Nursing; Bachelor's degree in social work, nursing, or another health or human services field with the appropriate licensure preferred
- High school degree, or equivalent
- Three years RN experience in public health nursing, acute care, case management, and/or home health care required; minimum of 2 years of managed care experience in case management with a focus in inpatient and/or outpatient ambulatory care preferred
HealthCare Talent is a leading provider of healthcare talent solutions, dedicated to bridging the gap between your dreams and your current healthcare position.
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