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3h ago Curated

CA Licensed Nurse Care Manager, Adult

Included Health

Job description

We're looking for Nurse Care Managers for our Care and Case Management team, who hold a UT Compact RN license and also a CA RN license; have experience working with a health plan, health navigator or third-party administrator (TPA). As a telephonic Nurse Care Manager you will report to the Manager, Care and Case Management and will guide members through complex medical and behavioral Health situations, partnering with a diverse clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. You will excel at creating cohesive care plans, and have the clinical skills to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.

Key responsibilities

  • Guide members through complex medical and behavioral health situations
  • Create cohesive care plans
  • Support members through complex care management, disease management, and acute case management
  • Partner with clinical team including healthcare professionals, care coordinators, and records specialists

What you bring

  • UT Compact RN license
  • CA RN license
  • Experience with health plan, health navigator, or TPA
  • Telephonic communication skills
  • Clinical assessment and care planning

Tags

RemoteCase ManagementTelephonicCA LicenseUT Compact

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