Serene Health ยท 23 hours ago
RN Case Manager - Bilingual Spanish
San Diego, CA
Full-time
Onsite
Entry, Mid Level
$90K/yr - $100K/yr
2+ years expOptima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. The RN Case Manager oversees comprehensive care coordination for diverse patient cases, focusing on chronic conditions, mental health, and homelessness, while ensuring regulatory compliance and compassionate patient support.
Health CareHospitalMental HealthTherapeutics
Responsibilities
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
Qualification
Required
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
Bilingual in English / Spanish Required
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
Preferred
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
Benefits
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.
Company
Serene Health
Serene Health provides behavioral health and mental health services.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Dr. Jennifer Guerguis, PhD, LMFT
Founder and Chief Clinical Officer
Company data provided by crunchbase