Clinical Care Manager

The telephonic Nurse Care Manager will guide members through complex medical and behavioral Health situations, partnering with a multidisciplinary clinical team that includes a variety of healthcare professionals, care coordinators, and records specialists, to deliver integrated remote care in an innovative way. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. They should also excel at creating cohesive care plans, and should possess the clinical acumen to guide members clinically and navigate available benefits and resources. Nurse Care Managers will support members through complex care management, disease management, and acute case management, ensuring they receive longitudinal care that results in excellent health outcomes.

Responsibilities:

• Deliver coordinated, patient-centered virtual Care Management by telephone and/or video that improves members' health outcomes.
• Generate impactful care plans together with members and our multidisciplinary care team, and help members achieve the desired goals.
• Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
• Partner with the members' local providers to ensure coordinated care.
• Provide compassionate, longitudinal follow-up care, building supportive relationships.
• Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
• Coordinate necessary resources that holistically address members' problems, whether clinical or social

Qualifications:

• Bachelor of Science in Nursing (BSN).
• Must have current CCM Certification
• 5+ years of experience in nursing preferred.
• 2+ years experience working in care management
• Must reside in a compact NLC state.
• Active Compact RN license in good standing with the nursing board of their state.
• Active California Nursing License required
• Willingness to become (and maintain) licensure in multiple states.
• Be comfortable discussing a wide variety of medical conditions and experience with populations across the age ranges
• Experience working remotely preferred; Comfortable with technology, as well as strong competence and ability to use multiple computer/medical record systems.
• Be highly empathetic. We work with patients and their families who are going through challenging times.

Medix is acting as an Employment Business in relation to this vacancy.