Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
Note - Remote Anywhere in PST Time Zone- Work in PST Time Zone and MUST have California RN licensure.
Responsibilities
Walk me through the day to day responsibilities of this the role and a description of the project (Outside of Workday JD):
Conducting comprehensive assessments of members health needs
Developing personalized care plans based on members needs and input
Providing member education
Must have Ca RN license
Making outbound calls and taking inbound calls -will spent most of their day on the phone reaching out to members
Data Entry
Must have strong computer skills
Excellent time management skills.
Navigating multiple systems
Describe the performance expectations/metrics for this individual and their team:
Caseload target 75-80
Case Duration 90 days
Addressing 90% of Care Gaps
Tell Me About What Their First Day Looks Like
Orientation
Training
Completion of Onboarding Tasks
Introduction to Technology
What previous job titles or background work will in this role?
Case Manager
Home health RN
Education/Experience
Graduate from an Accredited School of Nursing.
Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role preferred.
Prior case management experience preferred and Bilingual in Spanish and English is preferred.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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