RN Case Manager

At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission.Job SummaryThe RN Case Manager serves as an advocate and care coordinator for at-risk patients, including those being discharged from the hospital, managing chronic disease non-compliance, newly diagnosed with chronic disease or cancer, frail, elderly, or frequent emergency room utilizers. The RN Case Manager is responsible for conducting an in-depth assessment of a client's needs and providing appropriateinterventions to improve outcomes, ensure access to care, reduce re-hospitalization, and offer support systems for the management of the condition.Supervisory Responsibilities: NoneEssential Duties/ResponsibilitiesConduct a thorough needs assessment based on the risk factor or diagnosis provided at the time of referral - this may include a medical history, functional abilities, and social components including family support systems, ability to function independently, ability to obtain medication and understand the prescription, language skills and medical insurance statusArrange and coordinate various services based on the needs of the patient - these may include public or private programs, not-for-profit organizations, transportation, in home support services, medical insurance, patient and family education, home health, medication use, and othersAssist with paperwork necessary to obtain servicesMaintain adequate knowledge of resources available and conduct additional research when indicated or necessary to resolve complex casesAct as an advocate between agencies and clients to ensure timely interventions and develop a collaborative relationship to maximize the patient’s and family’s ability to make informed decisionsDemonstrate the knowledge base necessary regarding resources and health care services to appropriately assist the client and communicate effectively with the medical teamDemonstrate ability to manage the case through the continuum of care towards providing timely interventions and an appropriate outcomeProvide adequate care coordination, effectively communicate the interventions and progress with the health care team, and conduct timely follow-up assessmentsMaintain appropriate documentation including but not limited to client information, diagnosis, and medical history, communication with service providers, details of the referrals issued, plans, goals, and outcomesMake recommendations for changes in the direction of projects based on informed and acquired knowledge of trends and community changesConduct or participate in community meetings as deemed appropriate for the current assignments or potential opportunities of developmentIntegrate support functions effectively with the clinic services and operationsAssist with opening new opportunities for funding or program growth by staying informed and establishing a network of community resourcesParticipate in organizational performance improvement projects related to current activities and annual MA Clinical Skills Competency Training eventsProvide patient and clinic support on a case-by-case basis to surrounding clinicsOffer patient and clinic support as part of the call center RN Triage coverage and assist with special projects requiring RN expertise as neededDevelop and monitor departmental and program/project operating budgets, costs and schedulesSupervise, lead, coach, and use best management practices to improve staff performanceSupport and model the identified vision, values, and behaviors of the organizationWork with staff to develop systems to ensure consistent, high-quality project managementOther duties as assignedSafetyEnsure compliance with policies and procedures related to safe work practicesUse appropriate equipment and/or tools to ensure workplace safetyImmediately report unsafe working conditionsPrivacy/ComplianceMaintain privacy and security of all patients, employee, and volunteer information and access to such informationComply with all regulations regarding corporate integrity and security obligationsReport unethical, fraudulent, or unlawful behavior or activityUphold strict ethical standardsRequired Skills/AbilitiesDemonstrate excellent oral and written communication skillsProficient in thoroughly documenting conversations and actions related to case managementExhibit effective interpersonal skillsAbility to work effectively in collaboration with diverse groups of peopleProficient in performing mathematical calculations, organizing, and prioritizing workloadAbility to work effectively and efficiently under stressCapable of handling difficult situations with professionalismShows integrity, positive attitude, mission driven attitude, and is self-directed with a demonstrated passion for DAP Health’s mission and commitment to working collaboratively with the executive teamBasic business intuition and common senseStrong work ethicSkilled in supervising, multitasking, and following instructionsProficient in reading, writing, speaking, and understanding EnglishBilingual in Spanish and English is preferredEducation and ExperienceRN DegreeAt least 2 years' work experience in Case Management or related fieldStrong technical knowledge of management principles and practicesWorking Conditions/Physical RequirementsCapable of lifting and moving up to 40 pounds, moving between locations, and standing for extended periodsHybrid schedule: 3 days in clinic and 2 working remotely #J-18808-Ljbffr DAP Health