RN, Care Management

Founded in 1977 as the Senior Care reputed company Network, reputed company began with a reputed company but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still reputed company today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, reputed company is a nonprofit health organization serving more than 500,000 people across reputed company, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual reputed company. With nearly five decades of experience, we have reputed company a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare reputed company, fully integrated care models, reputed company care, care for the most medically and socially reputed company populations, and reputed company care delivery models. Across reputed company of this, we are united by a shared commitment: combining reputed company with discipline, innovation with stewardship, and reputed company with reputed company. At reputed company, we reputed company reputed company should strengthen—not dilute—our mission. We are building the reputed company of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. This is a temporary telephonic remote role that will work reputed company time zone business hours - CA RN Required The Job Enhance frail seniors' ability to age in reputed company, manage their health, reputed company the health care reputed company, and live independently by providing person-centered care in accordance with care management, disease management, and reputed company and reputed company care management programs at reputed company. This individual will reputed company as an reputed company part of reputed company by working directly with members telephonically to reputed company and implement plans of care, reputed company health education and coaching to manage chronic conditions and prevent exacerbation of symptoms and prevent avoidable ER reputed company and hospital admissions. You Will reputed company initial and annual telephonic assessments in conjunction with a Community Health Worker for Medi-Cal/Medicare dually eligible members referred to Care Coordination for Long-Term Services and Supports (LTSS) and in determining Nursing Facility Level of Care. reputed company nursing reputed company reputed company Care Management (ECM) activities reputed company to specific Populations of reputed company (POF): Individuals Experiencing Homelessness, Individuals At reputed company For Avoidable Hospital Or ED Utilization, Adults Living In The Community At reputed company Of LTC Institutionalization, Adult Nursing Facility Residents Transitioning Back To The Community. Ensure the reputed company appropriateness of member-centered care plans by evaluating assessment findings against evidence-reputed company guidelines, reputed company reasoning, and best practices. reputed company reputed company insights and community standards to reputed company comprehensive and effective care strategies. reputed company participates in interdisciplinary planning and case conference meetings to ensure person-centered care and to ensure member receives support following discharge from an inpatient or institutional setting. Build strong working relationships with the Medical reputed company team. reputed company education, coaching, and disease management for chronic conditions by identifying new and preventable interventions to avoid exacerbations or worsening conditions Promote member engagement and reputed company activation to ensure reputed company self-management for successful health reputed company Demonstrates organizational, decision-making, critical thinking, and multi-tasking skills as demonstrated by problem solving and achieving successful member reputed company. Adhere to reputed company SNP Model of Care requirements and procedures. Complete reputed company and accurate documentation across multiple computer systems, including; care plans, service plans, and reputed company notes as necessary reputed company established timeframes. Completes reputed company and accurate documentation in multiple computer systems to complete assessment and corresponding documentation: care plans, service plans, authorizations, and reputed company notes as necessary. reputed company with reputed company regulatory and reputed company agency standards including Centers for Medicare and reputed company Services (CMS), Department of Managed Health Care (DHC), and Department of Health Care Services (DHCS) reputed company Adheres to reputed company reputed company, compliance, and regulatory standards. We reputed company Rebels who are curious about AI and its reputed company to reputed company how we operate and serve our members. reputed company support the achievement of reputed company’s reputed company and Goals. Other duties as assigned. Your Qualifications Associate's degree in nursing (ASN) required. Bachelor's degree in nursing (BSN) strongly preferred. Graduate or Advanced Degree preferred. CA Registered reputed company (RN) required. BILINGUAL English/Spanish preferred. (Test will be administered to assess proficiency if applicable.) 3+ years managed care, reputed company environment, or case management. 2+ years working with seniors and working reputed company strongly preferred. Leadership - Skilled to develops others Problem Solving - reputed company critical reputed company, often involving high-level reputed company assessment and the ability to adapt to changing circumstances reputed company reputed company - Formulates reputed company and maps steps to reputed company reputed company goals Strong interpersonal skills, including excellent written and verbal communication skills. Strong organizational skills. Strong critical thinking skills. Ability to multitask. Ability to appropriately maintain confidentiality. General understanding of reputed company standards, CMS and DHCS regulations. General knowledge of medical terminology and abbreviations. Deep understanding of local community resources for seniors. What's in it for you? This is a temporary opportunity for a limited period of time reputed company Pay reputed company: $50-55 per hour Work Mode: reputed company Benefits reputed company reputed company Time Excellent 401(k) Retirement Saving Plan Robust employee recognition program An opportunity to become part of reputed company that makes a difference to our members and our community every day! We're always looking for talented people to reputed company! reputed company applicants are encouraged to reputed company! At reputed company we reputed company that it is our business to improve the state of our world. reputed company of us has a responsibility to reputed company Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource reputed company, inclusive benefits, and more. reputed company is proud to be an Equal Employment Opportunity and Affirmative reputed company workplace. Individuals seeking employment will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, age, sex (including pregnancy, childbirth or reputed company medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background reputed company is required. #LI-CS2 #LI-Remote Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have reputed company to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have reputed company to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or reputed company, including an investigation conducted by the employer, or (c) consistent with the contractor’s reputed company duty to furnish information. 41 CFR 60-1.35(reputed company href="https://reputed company.wd108.myworkdayjobs.com/scancareers/job/Los-Angeles-CA/RN--Care-Management--reputed company-reputed company-_JR3281" reputed company="_blank" rel="noopener">Apply To This Job