RN Care Manager - CA Licensed

One Medical•San Francisco, CA

5d•$113,000 - $120,000•Onsite

About The Position

One Medical is looking for nurses with care management or population health backgrounds to join our Senior Health Care Team. In this role, you will support One Medical senior patients across the care continuum through scheduled visits and asynchronous proactive outreach and care coordination. You will be based in an office where seniors are seen and support patients across multiple offices.

Requirements

Licensed RN in CA required, willingness to obtain licenses in other states
Bachelor of Science in Nursing or MSN preferred
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

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