Case Management Nurse

Nurse Case Managers are licensed RNs who coordinate care, discharge planning, and individualized care plans for assigned patients. They serve as clinical consultants and multidisciplinary collaborators to ensure quality, cost-effective, and timely care across the continuum without delivering direct medical care. Key Responsibilities Care Coordination: Develop, manage, and monitor person-centered care plans and perform disease/case management across various programs (e.g., Chronic Care, Transition of Care). Discharge & Outreach: Facilitate timely hospital discharge plans, conduct home visits, perform medication reconciliation, and accompany patients to medical visits as needed. Collaboration & Resource Management: Partner with PCPs, MSO Utilization Management, and community resources to optimize resource use and improve patient outcomes. Assessments & Documentation: Complete Annual Wellness Visits, evaluate program eligibility, maintain accurate clinical documentation, and support quality improvement initiatives. Team Support: Assist in training new Nurse Case Managers and Care Coordinators. Qualifications License & Certifications: Active California RN License, Basic Life Support (BLS) certification, and a valid Driver's License with a clean driving record. Language: Spanish fluency is required. Skills & Requirements: Strong clinical decision-making, multidisciplinary collaboration, documentation skills, and the ability to conduct 40-60 minute community/home visits. #J-18808-Ljbffr Fute