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:
Education/Experience:
- Time Management (work fastpaced environment)
- Works independently
- Work remotely in telephonic CM
License: