Remote Case Management RN - California License

Vivo HealthStaff is seeking a highly skilled and compassionate Registered Nurse to fill a temporary 3-month contract role as a Remote Case Manager, with the option to extend. As a Remote Case Manager, you will play a vital role in coordinating healthcare services for members with complex and chronic care needs, utilizing the nursing process to interact effectively with members, caregivers, and interdisciplinary team participants in a fully remote setting.

Job Summary:

In this dynamic and rewarding role, you will serve as a remote resource for members, their families, and physicians, ensuring access to appropriate care and facilitating referrals and authorizations. You will conduct comprehensive remote assessments, collaborate with members and care teams to implement care plans, and provide remote education and self-management support tailored to each member's unique needs.

Key Responsibilities:

• Care Coordination: Serve as a remote resource for members, their families, and physicians, ensuring access to appropriate care and facilitating referrals and authorizations.
• Comprehensive Assessments: Conduct thorough remote assessments, evaluating members' health status, resource utilization, and treatment plans.
• Care Plan Implementation: Collaborate remotely with members, PCPs, and care teams to implement care plans, interfacing with various healthcare professionals.
• Education and Support: Provide remote education and self-management support tailored to each member's unique learning style.
• Problem Solving: Assist in resolving issues with providers, claims, or services from a remote setting.
• Care Coordination Efficiency: Work closely with delegated or contracted providers to ensure effective care coordination, remotely.
• Compliance: Maintain confidentiality of all PHI in compliance with state and federal law and company policy, while working remotely.

Requirements:

• 1-3 years of clinical experience, with 2 or more years in case management.
• Health Plan experience preferred.
• Active, valid, and unrestricted California RN license.
• Understanding of community resources, treatment options, home health, funding options, and special programs.
• Extensive knowledge of chronic condition management.
• Bilingual in Spanish preferred.
• Excellent verbal and written communication skills.
• Team player with effective relationship-building skills.
• Ability to work independently in a remote setting.
• Experience using standardized clinical guidelines.
• Strong organizational skills.
• Proficiency in PC-based software programs, including Word, Excel, and PowerPoint.

What We Offer:

Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States. We are committed to supporting the growth and development of our team members and offer a range of benefits and opportunities for professional advancement.

Apply Now to join our team as a Remote Case Management RN and make a difference in the lives of our members!