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RN Case Manager

Community Health Systems, Inc. (CHSI) Riverside, CA
  • Posted: over a month ago
  • $75,000 to $95,000 Annually
  • Full-Time
  • Benefits: Vision, Medical, Life Insurance, Dental

We are seeking an experienced and reliable Registered Nurse Case Manager to join our clinical care team in the city of Riverside for an exciting opportunity!

$75,000 - $95,000 per year!!!

Under the general supervision of the Director of Nursing (DON), this position is responsible for working effectively with, and as part of the Community Based-Care program to provide high quality, effective care management to Health Homes Program (HHP) members. This position works collaboratively as part of the Community- Based Care Management Entity (CB-CME) team, members and families, and other professionals, in addition to working collaboratively with the designated PCP care team.

KEY TASKS & RESPONSIBILITIES

  • Responsible for primarily working with a caseload of HHP Members with complex medical needs (tier 1).
  • Responsible for utilizing brief interventions as necessary to improve the Member's ability to manage their own health.
  • Provide formal and informal training and support for HHP members on medical conditions, including treatments and evidence-base for treatment.
  • Responsible for assisting Members with care coordination needs, including, but not limited to, the following:
  • Ensure completion of the Complex Health Assessment (CHA) for all eligible HHP Members within specified time Conduct comprehensive, holistic assessment according to the scope of the RN license
  • Assimilate CHA information into a Shared Care Plan (SCP)/Health Action Plan (HAP).
  • Communicate SCP/ HAP with Member, approved family or caregiver and other Members of the care team
  • Lead CB-CME team meetings to share information, update and inform care plan
  • Coordinate with internal and external health partners to support Members comprehensive care needs
  • Participate and lead care transition plan

QUALIFICATIONS

EDUCATION AND EXPERIENCE

  • Current unrestricted California RN License required.
  • Valid driver’s license and automobile insurance required.
  • Current American Heart Association (AHA) BLS certification required
  • Three (3) or more years of care management experience in a health care delivery
  • Experience in a Health Care Organization or experience in Managed Care setting preferred.
  • Minimum 1-year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting preferred.
  • Must be able to travel locally as necessary to complete the responsibilities of the position.

KNOWLEDGE, SKILLS AND ABILITIES

  • Progressive knowledge and experience in quality management, HIPAA, OSHA, and Title XXII.
  • Strong analytical and critical thinking skills; ability to pay close attention to detail.
  • Strong computer skills, with high proficiency in Microsoft Office. Experience using an EHR (NextGen) is highly preferred.

Community Health Systems, Inc. (CHSI)

Why Work Here?

Come and grow with us and leave your footprint on the community!

Welcome to Community Health Systems, Inc. CHSI is a Federally Qualified Health Center (FQHC) and Non-Profit 501 (C)(3), operating six community health centers in the tri-county area of: San Bernardino, Riverside, and San Diego. CHSI focuses on providing high quality and compassionate medical, dental, women’s health, behavioral health, and vision care services to those who are under-served, uninsured, or under-insured. With 6 clinic locations in San Bernardino, Riverside and San Diego County, CHSI participates in a nationwide effort to extend a safety net of health services to those who lack access to health services, especially the low-income, under-insured (or uninsured) individuals with limited means to pay for quality health services. We seek the best trained clinical and professional staff and strive to provide care in a culturally sensitive manner.

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