Telephonic RN Case Manager – Special Needs Plan, California RN License Required
Job Description:
• Provide telephonic case management to medically complex and chronically ill members
• Conduct comprehensive health assessments and create individualized care plans
• Coordinate care with internal and external partners, including physicians and specialists
• Educate members and caregivers on disease management and preventive care
• Monitor member progress and advocate for timely, appropriate interventions
• Identify and help resolve service or access issues impacting care quality
Requirements:
• Active, unrestricted RN license in California (Non-Compact)
• Minimum 2 years of clinical nursing experience
• At least 1 year of case management experience
• Proficiency with Microsoft Office (Word, Excel, Outlook)
• Bilingual (Spanish, Korean, Mandarin, etc.)
• Previous health plan or IPA experience
• Bachelor's Degree in Nursing (BSN)
Benefits:
• Competitive compensation
• Full suite of health benefits (medical, dental, vision)
• 401(k) with employer match
• Generous PTO and paid holidays
• Career growth and continuing education support
• Rewarding referral bonuses for successful hires
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