Clinical - Care Manager I (RN)

Found in: Talent US C2 - 2 weeks ago

Buena Park, United States Axelon Services Corporation Full time
Schedule 8am - 5pm
Remote- PST, but MUST have CA licensure
60 day contract position. Must have CA RN licensure. Can live anywhere in the US but must work West Coast hours.

Job Description: Description - External
Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care

" Develop, assess and adjust, as necessary, the care plan and promote desired outcome
" Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
" Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
" Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
" Provide patient and provider education
" Facilitate member access to community based services
" Monitor referrals made to community based organizations, medical care and other services to support the members overall care management plan
" Actively participate in integrated team care management rounds
" Identify related risk management quality concerns and report these scenarios to the appropriate resources
" Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Qualifications - External

Education/Experience: Graduate from an Accredited School of Nursing. Bachelor s degree in Nursing preferred. 2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred. Florida residency required. Knowledge of healthcare and managed care preferred. Prior experience working in a remote role preferred. Prior case management experience preferred. Bilingual in Spanish and English is preferred.

Licenses/Certifications: Current state s RN license.

*Pediatrics - birth to 21
*Work-from-home case management role
Comments for Vendors: 60 day contract positioin. Must have CA RN licensure. Can live anywhere in the US but must work West Coast hours.
Walk me through the day to day responsibilities of this the role and a description of the project
  • Outreaching member to enroll them in CM program
  • Building care plans, medication review, assessments care plans

Describe the performance expectations/metrics for this individual and their team:
  • 20 calls/day
Tell me about what their first day looks like:
  • System-specific training
What previous job titles or background work will in this role?
  • Case Management that has remote experience
  • Home Health Care/Hospice, but not their only experience
Any future projected positions potentially coming up? Choose an item. If yes, note: Internal/External Groups with which the Candidate will interface: Preferred Skills/ Experience: Time Management (work fast-paced environment) 1. Technical skills Works independently 2. Work remotely in telephonic CM 3. Associate s degree Education Preferred: Microsoft Office Suites Required Testing:

  • RN Manager-Wound Care

    3 weeks ago

    New Hyde Park, United States Parker Jewish Institute for Health Care and Rehabilitation Full time

    Job DescriptionJob DescriptionRN-Nurse Manager-Wound CareFull TimeParker Jewish Institute for Health Care and Rehabilitation, located in New Hyde Park, NY, is seeking an experienced RN to oversee our Wound Care program and join our dedicated team of Nursing Professionals. In this key clinical role working alongside with caring, dedicated, and experienced...

  • Resident Care Manager

    Found in: beBee jobs US - 2 weeks ago

    Buena Park, California, United States Franciscan Ministries Full time

    The Village at Victory Lakes is hiring for a Resident Care Manager for our Skilled Nursing Community.The Resident Care Manager / RCM is responsible to ensure the highest quality of care is always maintained.8 miles from Six Flags in Gurnee, ILAbility to partner with other departments, Infection RN, Wounds, MDS, Admissions, Life Enrichment, and Social...

  • RN Clinical Staff Med/Surg Tele 5th Floor Full Time Days

    1 week ago

    Buena Park, United States Martin Luther King, Jr. Community Hospital Full time

    If you are interested please apply online and send your resume to jcardenas@mlkch.org POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of Telemetry, the...

  • Registered Nurse

    Found in: beBee S US - 1 week ago

    Buena Park, United States momentum-formerly-ucpla Full time

    *$3,000 Sign On Bonus!\***Schedule: 9:00 AM to 5:00 PM, Monday - Friday; with on-call evenings, weekends and holidays, as needed.**Benefits Include:** Low patient-to-nurse ratio* Medical/Dental/Vision Insurance* Life Assistance Program* Flexible Spending Account (FSA)* Paid Holidays* Paid Vacation/Sick/Bereavement Leave* Credit Union Benefits and Discounts*...

  • Registered Nurse

    1 week ago

    Buena Park, United States momentum-formerly-ucpla Full time

    *$3,000 Sign On Bonus!\***Schedule: 9:00 AM to 5:00 PM, Monday - Friday; with on-call evenings, weekends and holidays, as needed.**Benefits Include:** Low patient-to-nurse ratio* Medical/Dental/Vision Insurance* Life Assistance Program* Flexible Spending Account (FSA)* Paid Holidays* Paid Vacation/Sick/Bereavement Leave* Credit Union Benefits and Discounts*...

  • Registered Nurse

    1 week ago

    Buena Park, United States momentum-formerly-ucpla Full time

    $3,000 Sign On Bonus!*Schedule: 9:00 AM to 5:00 PM, Monday - Friday; with on-call evenings, weekends and holidays, as needed. Benefits Include: Low patient-to-nurse ratioMedical/Dental/Vision InsuranceLife Assistance ProgramFlexible Spending Account (FSA)Paid HolidaysPaid Vacation/Sick/Bereavement LeaveCredit Union Benefits and Discounts$750.00 Referral...

  • Registered Nurse

    1 week ago

    Buena Park, United States momentum-formerly-ucpla Full time

    Job DescriptionJob Description$3,000 Sign On Bonus!*Schedule: 9:00 AM to 5:00 PM, Monday - Friday; with on-call evenings, weekends and holidays, as needed. Benefits Include: Low patient-to-nurse ratioMedical/Dental/Vision InsuranceLife Assistance ProgramFlexible Spending Account (FSA)Paid HolidaysPaid Vacation/Sick/Bereavement LeaveCredit Union Benefits and...

  • RN Manager-Wound Care

    1 week ago

    New Hyde Park, United States Parker Jewish Institute Full time

    RN-Nurse Manager-Wound CareFull TimeParker Jewish Institute for Health Care and Rehabilitation, located in New Hyde Park, NY, is seeking an experienced RN to oversee our Wound Care program and join our dedicated team of Nursing Professionals. In this key clinical role working alongside with caring, dedicated, and experienced senior nursing leadership, the RN...

  • RN Manager-Wound Care

    27 minutes ago

    New Hyde Park, United States Parker Jewish Institute Full time

    RN-Nurse Manager-Wound Care Full Time Parker Jewish Institute for Health Care and Rehabilitation, located in New Hyde Park, NY, is seeking an experienced RN to oversee our Wound Care program and join our dedicated team of Nursing Professionals. In this key clinical role working alongside with caring, dedicated, and experienced senior nursing leadership, the...

  • RN Emergency Room FT 3PM

    3 weeks ago

    Buena Park, United States Martin Luther King, Jr. Community Hospital Full time

    If you are interested please apply online send your resume to anjimenez@mlkch.org POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of the Emergency...

  • RN Emergency Room; FT 7PM

    1 week ago

    Buena Park, United States Martin Luther King, Jr. Community Hospital Full time

    If you are interested please apply online send your resume to anjimenez@mlkch.org POSITION SUMMARY The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of the Emergency...

  • RN Medical Care Manager

    1 week ago

    Oakland Park, United States AIDS Healthcare Foundation Full time

    RN Medical Care ManagerWHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its...

  • RN-Nursing Supervisor-Evening Shift

    1 week ago

    New Hyde Park, United States Parker Jewish Institute for Health Care and Rehabilitation Full time

    Job DescriptionJob DescriptionRN-Nursing Supervisor-Full Time or Part Time3pm-11:15pmThe Parker Jewish Institute for Health Care and Rehabilitation, located in New Hyde Park, NY, is seeking a self-motivated, outgoing and team-oriented Registered Nurse for a Full Time Nurse Supervisor position on the 3pm-11:15pm shift. This is an exciting position and key...

  • RN-Nursing Supervisor-11p-7a-Full Time

    1 week ago

    New Hyde Park, United States Parker Jewish Institute for Health Care and Rehabilitation Full time

    Job DescriptionJob DescriptionRN-Nursing Supervisor-Full Time11:00pm-7:15amThe Parker Jewish Institute for Health Care and Rehabilitation, located in New Hyde Park, NY, is seeking a self-motivated, outgoing and team-oriented Registered Nurse for a Full Time Nurse Supervisor position on the 11pm-7:15am shift. This is an exciting position and key clinical...

  • RN Medical Care Manager

    Found in: Jooble US O C2 - 2 weeks ago

    Oakland Park, FL, United States AIDS Healthcare Foundation Full time

    RN Medical Care Manager AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! If so, AIDS Healthcare Foundation is the place for you! Founded in 1987, AIDS Healthcare Foundation is the largest specialized provider of HIV/AIDS medical care in the nation. Our mission is to provide cutting edge medicine and advocacy, regardless of...

  • RN Medical Care Manager

    Found in: Jooble US O C2 - 1 week ago

    Oakland Park, FL, United States AIDS Healthcare Foundation Full time

    RN Medical Care Manager WHO WE ARE AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its...

  • Wound Care Coordinator

    1 week ago

    Highland Park, United States Genesis Healthcare Full time

    Job DescriptionFULL-TIME / ON-CALL ROTATION Benefits*Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off *Variable compensation plans*Diverse, Equitable and Inclusive (DEI) workplace with DEI committee. DEI is a part of our company's DNA.*Nursing Student Loan Debt Repayment and Tuition Assistance*Tuition, Travel, and Wireless...

  • RN Utilization Management Specialist

    Found in: Appcast US C2 - 3 weeks ago

    Park Ridge, United States Managed Care Staffers Full time

    Hybrid F/T RN Utilization Management Specialist Needed in Park Ridge, IL Our client, a growing Medicare Advantage Plans Ins. Co. located in Park Ridge; IL has an immediate need for an experienced partially remote, direct hire full-time IL Licensed RN UM Specialist. Hours for this position: M-F (8:30am-5:00pm) & one Sat/mo. 9am -1pm. Job...

  • School Nurse

    3 days ago

    Floral Park, United States Clinical Staffing Resources Full time

    Job DescriptionBenefits              Health Insurance              Vision insurance              Dental InsuranceFlexible ScheduleReferral programWeekly Direct DepositCompetitive Pay, Flexible ScheduleClinical Staffing Resources is currently seeking a Registered Nurse (RN) to work in one of our school districts near you...

  • RN Utilization Management Specialist

    1 week ago

    Park Ridge, United States Managed Care Staffers Full time

    Job DescriptionJob DescriptionHybrid F/T RN Utilization Management Specialist Needed in Park Ridge, ILOur client, a growing Medicare Advantage Plans Ins. Co. located in Park Ridge; IL has an immediate need for an experienced partially remote, direct hire full-time IL Licensed RN UM Specialist. Hours for this position: M-F (8:30am-5:00pm) & one Sat/mo. 9am...