Clinical - Care Manager I RN

Job Title: Care Manager I (RN)

Location: Remote Role

Duration: 60 days

Shift: 85 PST MonFri PST

Note: Fully remote can sit anywhere in the US but must have a CA RN license and be able to work PST hours listed.

Job Description:

Job Responsibilities:

• Outreaching member to enroll them in CM program
• Building care plans medication review assessments care plans

• Develop assess and adjust as necessary the care plan and promote desired outcome
• Assess the members current health status resource utilization past and present treatment plan and services prognosis short and longterm goals treatment and provider options
• Coordinate services between Primary Care Physician (PCP) specialists medical providers and nonmedical staff as necessary to meet the complete medical socioeconomic needs of clients
• Develop plan of care based upon assessment with specific objectives goals and interventions designed to meet members needs
• Provide patient and provider education
• Facilitate member access to communitybased services
• Monitor referrals made to communitybased 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

Describe the performance expectations/metrics for this individual and their team:

• 20 calls/day

Education/Experience:

• Time Management (work fastpaced environment)
• Works independently
• Work remotely in telephonic CM

License:

• CA RN License.