RN Case Manager

Serene Health-posted 28 days ago

$90,000 - $100,000/Yr

Full-time • Mid Level

San Diego, CA

11-50 employees

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The RN Case Manager oversees comprehensive care coordination for diverse patient cases, utilizing effective communication strategies and cultural sensitivity to engage members and providers. With a focus on chronic conditions, mental health, and homelessness, they assess, develop, and implement care plans while ensuring regulatory compliance and compassionate patient support.

Utilize medical interventions to enhance members' self-management of health.
Engage with ECM Lead Care Managers via phone or in-person for assessment and care plan development.
Provide training for ECM Team Members on medical conditions and treatments.
Coordinate with internal and external partners to support members' comprehensive care.
Coordinate clinical care for ECM Program clients and establish care plan goals.
Organize and monitor services needed by recipients.
Perform bio-psycho-social assessments and develop care plans.
Oversee care plan implementation and monitor treatment adherence.
Provide coaching for behavior change and health improvement.
Document interactions and interventions accurately.
Collaborate with executives and assist in staff training for safety and quality assurance.
Design and execute training programs for Lead Care Managers.
Prepare formal responses and reports for regulatory agencies.
Establish effective processes and ensure compliance with regulations.
Assist in maintaining operational efficiency and quality care for patients.
Performs other duties as assigned.

Registered Nurse with a valid CA license from an accredited nursing school.
Associate degree in Nursing from an accredited institution required.
1-2 years of case management experience with low-income populations, focusing on complex chronic conditions, mental illness, and homelessness.
2 years of experience with homeless, low-income, and mentally ill populations, including substance abuse.
Proficient in evidenced-based communication techniques like Motivational Interviewing.
Understanding and sensitivity to multicultural communities.
Knowledgeable in self-management practices for chronic conditions.
Skilled in phone-based engagement with members and providers.
Proficiency in data interpretation and learning new software systems.
Strong attention to detail, analytical thinking, and interpersonal skills.
Ability to work autonomously and as part of a team.
Exceptional organizational and time management abilities.
Compassionate and empathetic approach to patient care.
Ability to analyze situations and act ethically and in compliance with regulations.
Flexibility to adapt to changing environments
Willingness to travel to different locations.
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 10 pounds at times.

Bachelor’s degree in nursing from an accredited institution preferred.
Experience in a Health Care Organization or experience in Managed Care setting preferred.
Experience in Medicare and Medi-Cal environments preferred.

Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.

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