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Case Manager & Leadership Opportunities
Ref No.: 16-00072
Location: French Camp, California

RN Complex Care Manager & Leadership Opportunities
San Joaquin Valley, CA


RN Complex Care Manager Staff level and Leadership opportunities for an organization dedicated to community health and wellness in the San Joaquin Valley! Strong salary up to $130k+ and excellent Benefits including CalPers Pension.

Compensation:

  • $90,000-$130,000++ Annual Salary based on experience
  • Benefits include Medical, Dental, Paid Time Off + Paid Holidays, Retirement Plans, State-sponsored Pension, Life Insurance, Disability Insurance and more!
  • Ongoing training & opportunities for professional growth.
Complex Care Manager:
  • Complex Care Manager will work collaboratively to provide Telephonic, Office-based Case Management to high risk, all age clients.
  • Read, interpret and apply clinical information, practice guidelines and analyze data and other information.
  • Create a care plan for high-risk patients and manage complex, chronic conditions and coordinate social as well as other services.
  • Conditions including arthritis, asthma, diabetes, hypertension, heart disease, COPD, HIV, osteoporosis, mental health, substance abuse and others.
  • Communicate effectively with diverse groups of people both internally as well as externally.
  • Exhibit high level of organization, time management and ability to problem-solve.
  • Administer protocols for utilization review, discharge planning and/or Case Management.
  • In-depth knowledge of health care delivery systems as they apply to Case Management.
Lead Care Manager:
  • Lead Care Manager provides daily oversight of the Care Management team, in collaboration with Supervisor & Manager of Care Management.
  • Goals include consistent work processes and compliance with NCAQ and regulatory standards.
  • Lead Case Manager will oversee team workflow including Referrals, chronic and complex Case Management and Acuity for all age patients (pediatric through geriatric).
  • Carry caseload as assigned.
  • Assist with training and staff development.
  • Utilizes clinical knowledge to apply evidence- based practice guidelines and criteria.
  • Conducts and records both focused and standard QI audits in collaboration with Supervisor.
  • Tracks and trends performance, identifies root causes, and reports and recommends improvement opportunities to management, based on audit results.
  • Coaches, trains, and conducts follow up for team performance improvement.
  • Collaboration with the supervisor to identify, design and deliver training modules to promote improved performance and/or implement new regulatory guidelines.
Qualifications:
  • 5+ years of RN experience in acute care (ICU, ER, MedSurg, Telemetry) or similar clinical setting.
  • 2+ years of Case Management, Discharge Planning, Admissions, Utilization or similar.
  • Leadership experience preferred.
  • Managed Care experience highly preferred.
  • CCM (Certified Case Manager) highly preferred.
  • Positive and professional with strong organizational and communication skills.