Rn Health Plan Case Manager

Trinityrailwayexpress

Base: $50.84 - $73.72; bonus/equity: not specified...
Coordinate care for defined patient populations
Discharge planning and utilization management
Interdisciplinary team collaboration
This position coordinates care and service for defined patient populations across the acute care continuum for CVHP members

Job Summary

  • This position coordinates care and service for defined patient populations across the acute care continuum for CVHP members.
  • The incumbent makes significant contributions toward achievement of desired clinical, financial, and resource utilization outcomes.
  • Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.

Matching Summary

This position coordinates care and service for defined patient populations across the acute care continuum for CVHP members.

Salary

Base: $50.84 - $73.72; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Coordinate care for defined patient populations
  • Discharge planning and utilization management
  • Interdisciplinary team collaboration
  • Improve patient care outcomes
  • Manage demanding workload
  • Tolerate frequent interruptions

Nice-to-have

  • Honor dignity of every person
  • Recognize unique perspectives
  • Embrace differences
  • Deliver compassionate, person-centered care

Key Requirements

  • High school diploma or equivalent
  • Degree from accredited baccalaureate nursing program preferred
  • Current RN licensure in California
  • Current AHA CPR card
  • CCM national certification preferred
  • Experience with two clinical specialties preferred
  • Excellent communication skills
  • Critical thinking skills
  • Creative problem-solving skills
  • Organizational and planning skills
  • Ability to be self-directed
  • Knowledge of hospital protocol and procedures
  • Knowledge of clinical standards and outcomes
  • Knowledge of funding options
  • Familiarity with community resources
  • Familiarity with federal and state regulations
  • Understanding of financial structure of health plan

Work Rights

Not specified

Tailored Resume

Cover Letter