Nurse Case Manager

11 hours ago


Fairfield, United States Partnership HealthPlan of California Full time
Job Title: Nurse Case Manager I

Job Summary:

We are seeking a skilled Nurse Case Manager I to join our team at Partnership HealthPlan of California. As a key member of our healthcare team, you will play a vital role in coordinating care for our members, ensuring they receive the best possible outcomes.

Responsibilities:

  • Initiate and coordinate individualized care plans for assigned members, addressing both clinical and non-clinical components.
  • Provide case management services independently for a caseload ranging in complexity from basic to complex.
  • Collaborate with multidisciplinary teams to develop and implement care plans that meet the comprehensive medical, behavioral, and psychosocial needs of members.
  • Communicate effectively with members, providers, vendors, community partners, and PHC employees to ensure a smooth implementation and continuum of care.
  • Maintain accurate and timely documentation, records, and case files in the PHC Case Management System.
  • Apply evidence-based interventions based on member's agreed-upon goals and priorities.
  • Develop and maintain knowledge of community-based networks of alternative modes of care to support and enhance wellness.
  • Participate in essential skills training, unit, and departmental assigned learning, and other departmental activities as assigned.

Qualifications:

  • Associate's degree in Nursing required; Bachelor's degree in Nursing (or higher) preferred.
  • 2 years of experience preferred, to include at least one (1) year of case management experience and one (1) year in an acute care setting; or equivalent combination of education and experience.
  • Current and unrestricted California Registered Nurse License.
  • Valid California driver's license and proof of current automobile insurance compliant with PHC policy.

Performance Based Competencies:

  • Strong organizational, communication, critical thinking skills, and attention to detail required.
  • Ability to work within an interdisciplinary structure and function independently in a fast-paced environment while managing multiple priorities and meeting deadlines.

Work Environment And Physical Demands:

  • Able to utilize multiple computer platforms simultaneously.
  • Daily use of telephone and computer for most of the day.
  • Standard cubicle workstation.
  • Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs.

Important Notice:

The job duties, elements, responsibilities, skills, functions, experience, educational factors, and the requirements and conditions listed in this job description are representative only and not exhaustive of the tasks that an employee may be required to perform.

The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.


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