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    Remote Clinical-Care Manager RN - California, United States - Spectraforce Technologies

    Spectraforce Technologies
    Spectraforce Technologies California, United States

    3 weeks ago

    Default job background
    Description
    Title:

    Clinical - Care Manager I

    Duration
    :
    03 Months

    Remote - CA

    Shift

    :

    Mon-Friday; 8:00AM-5:00PM

    Can work at 7am if needing an earlier shift

    Licenses/Certifications:

    Current state's RN license.

    Description

    Position Purpose :

    Position Purpose:

    Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

    Education/Experience:

    Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in an clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.

    Responsibilities:


    • Develop, assess and adjust, as necessary, the care plan and promote desired outcome
    • Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
    • Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
    • Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
    • Provide patient and provider education
    • Facilitate member access to community based services
    • Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
    • Actively participate in integrated team care management rounds
    • Identify related risk management quality concerns and report these scenarios to the appropriate resources
    • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
    Note:


    The Company is committed to complying with the California Consumer Privacy Act ("CCPA") effective January 1, 2020; and all data privacy and laws in the jurisdictions in which it recruits and hires employees.

    A Notice to California Job Applicants Regarding the Collection of Personal Information can be located on our . Applicants with disabilities may access this notice in an alternative format by contacting .
    #J-18808-Ljbffr

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