Registered Nurse Care Manager

Medix is currently hiring Registered Nurses for a Health Plan's Case Management team. We are looking for nurses that are passionate about caring for members holistically through their healthcare journey and ensuring needs are met with industry-leading interventions. The Nurse Care Manager should enjoy spending time on the phone, listening to members' needs, answering questions, and serving as an advocate. The RN must have their CCM and a California nursing license. Will not be able to accept nurses without this.

Schedule: M-F 9a-6p PST (No weekends or on call)

Job Summary

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 RN will be creating cohesive care plans, and should possess the clinical acumen to guide members clinically and navigate available benefits and resources. Nurse Care Managers will also 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:

• Must have current CCM Certification
• 5+ years of experience in nursing preferred.
• 2+ years experience working in care management
• Active Compact RN license in good standing
• Active California Nursing License required