Medicare RN Care Coordinator

1 week ago


Los Angeles, California, United States Welcome Health, Inc Full time

Position Overview: RN Case Manager for Medicare Patients

Welcome Health, Inc. is a pioneering primary care organization committed to enhancing healthcare for older adults. Our approach is rooted in the principles of geriatric medicine. As a risk-bearing entity, we primarily engage with Medicare Advantage plans to improve both access to and quality of care for members aged 65 and older, whether they are assigned to us by health plans or enroll directly. Our services are delivered across three settings: patient residences, clinics/facilities, and through virtual consultations. We are seeking an RN Case Manager to collaborate with our physician-led interdisciplinary teams in providing ongoing patient support and minimizing risks associated with adverse health outcomes, such as hospital admissions.

Key Responsibilities:

  • Longitudinal Case Management: Deliver comprehensive case management services to Medicare patients, emphasizing effective care coordination to enhance patient outcomes and lower healthcare expenses.
  • Patient Engagement: Work closely with patients, their families, and healthcare professionals to ensure optimal management of chronic conditions, adherence to treatment protocols, and a reduction in hospital readmissions and emergency department visits.
  • Care Coordination: Manage and coordinate comprehensive care plans for Medicare patients, ensuring continuity of care across various healthcare environments. Monitor and assess patient outcomes, adjusting care plans as necessary.
  • Patient Education: Provide education to patients and their families regarding chronic disease management, medication compliance, and self-care strategies. Advocate for preventive health measures and wellness initiatives.
  • Quality Improvement: Engage in quality enhancement initiatives aimed at improving patient care and achieving key performance metrics.
  • Documentation: Maintain precise and timely records of patient interactions, care plans, and outcomes within the electronic medical record (EMR) system.

Qualifications:

  • A valid RN license in California and potentially other states where Welcome Health operates in the future.
  • A Bachelor's degree in nursing (BSN) is preferred.
  • At least 3 years of clinical nursing experience, with a minimum of 2 years in case management or care coordination.
  • Experience in Medicare Advantage health plan case management is highly desirable.
  • Proficiency in a second language such as Spanish, Korean, Armenian, or Mandarin Chinese is preferred.

Benefits:

  • Medical, Dental, and Vision Insurance
  • Life Insurance
  • 401K Plan
  • Bonus Opportunities
  • Competitive Salary Range: $105,000 - $135,000 per year

Welcome Health, Inc. is an equal opportunity employer and prohibits discrimination and harassment of any kind.



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