RN Care Manager - CA Licensed

One Medical • Mill Valley, CA

22h • Onsite

About The Position

One Medical is a primary care solution focused on making quality care more affordable, accessible, and enjoyable by transforming healthcare for patients, providers, employers, and health networks. They offer seamless in-office and 24/7 virtual care, on-site labs, and programs for preventive care, chronic care management, common illnesses, and mental health concerns. In February 2023, One Medical joined Amazon, aiming to deliver exceptional health care to more consumers and improve health outcomes. They are building a diverse, driven, and empathetic team, fostering an environment where everyone can thrive. One Medical is seeking nurses with care management or population health backgrounds to join their Senior Health Care Team. In this role, the RN Care Manager will support One Medical senior patients across the care continuum through scheduled visits and asynchronous proactive outreach and care coordination. The position is based in an office where seniors are seen, and the manager will support patients across multiple offices.

Requirements

• Licensed RN in CA required, willingness to obtain licenses in other states
• 2+ years of nursing experience in hospital, post-acute facility, or ambulatory setting
• Working in office with primary care providers and health navigators
• Working 8am-5pm Pacific Time
• Knowledge of the greater Bay Area healthcare landscape and geography or willingness to rapidly learn
• Must be a goal-oriented, high energy, passionate leader who models organizational values and is able to set the tone for a positive work culture
• Must demonstrate outstanding clinical aptitude, using sound judgment in caring for patients
• Must demonstrate ability to use core coaching and educational techniques, including motivational interviewing and patient-centered communication to activate and empower patients and families
• Must demonstrate excellent interpersonal communication skills with a variety of audiences via in-person, telephone, video, and electronic means including exceptional listening skills, ability to use appropriate language and demonstrated writing skills
• Comfortable engaging speciality clinicians and other members of the healthcare team
• Must demonstrate ability to think outside of standard operational structure and work autonomously
• Must be creative, flexible, and organized to focus on continuous-improvement and be comfortable with ambiguity and change

Nice To Haves

• Bachelor of Science in Nursing or MSN preferred
• Experience preferred in one or more the following: care management, value-based care, population health

Responsibilities

• Conduct independent nursing visits (in-person, video, remote) with patients focusing on prevention (including Annual Wellness Visits), medication reconciliation, geriatric assessment, care plan reinforcement, chronic disease follow-up, and advance care planning
• Support patients to be more effective at managing their own care, navigating the healthcare system, and understanding their medical conditions and medications
• Coordinate with primary care providers and health navigators on follow-up care before and after clinician visits to deliver high quality, whole-person care, with a particular focus on high risk patients
• Attend case conferences and team huddles to support collaborative patient care
• Coordinate with community resources including home health, specialists, durable medical equipment vendors, and others to deliver high quality care and support patients
• In partnership with other team members, identify and act on open care gaps including cancer screenings, hearing/vision assessments, metabolic health, vaccines, functional status evaluations, fall risk, and cognition/mental health screenings
• Collaborate with and provide clinical support for Health Navigators

Benefits

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year
• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance
• Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%
• UpToDate Subscription - An evidence-based clinical research tool
• Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
• Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
• Discounted rate to attend One Medical’s Annual REAL primary care conference

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees