NeueHealth · 6 hours ago
Case Manager, RN
California, United States
Full-time
Remote
Entry, Mid Level
$75K/yr - $112K/yr
2+ years exp
Maximize your interview chancesHospitals and Health Care
Hiring Manager
Rene Zuniga
Insider Connection @NeueHealth
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Responsibilities
Assessment of the medical, social, and behavioral needs of an assigned population
Care Plan development and prioritization to transition members to optimal levels of health and self-management.
Coordinate interdisciplinary team meetings as required
Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population
Provide transition of care interventions as required
Facilitate care coordination, self-management planning, discharge planning, and health education for an assigned population.
Facilitate linkage to appropriate community resources to address social determinants of health
Adjudicate referrals and apply evidence-based clinical criteria to coordinate member care needs across all care setting
Ensure member communication and notices are composed in a manner consistent with regulatory standards.
Adheres to the Policies and Procedures set forth by the Quality Management Committee.
Qualification
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Required
Associate’s degree in Nursing
Minimum two (2) years of experience in medical management clinical functions.
Working knowledge of MCG, InterQual, and NCQA standards
Active License as a Registered Nurse (RN) for California.
High level of critical thinking and problem-solving skills
Strong work ethic and overall positive attitude
Effective communication skills including verbal and written
Ability to manage time effectively, understand directions, and work independently in a fast-paced environment
Demonstrated flexibility, organization, and self-motivation
Highly adaptable to change
Preferred
Bachelor’s degree
Certification in Case Management (CCM) or Managed Care Nursing (CMCN)
Benefits
Health benefits
Life and disability benefits
A 401(k) savings plan with match
Paid Time Off
Paid holidays
Company
NeueHealth
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care.
1,001-5,000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase
