OceansideRecruiter Since 2001
the smart solution for Oceanside jobs

Nurse Care Manager

Company: Avidity Exchange LLC
Location: Oceanside
Posted on: August 29, 2020

Job Description:

Nurse Care Manager PLEASE PROVIDE A PERSONAL EMAIL AND CONTACT PHONE NUMBER WHEN APPLYING Nurse Care Manager Nurse: Management San Diego, CA Full-time Key qualifications Licenses and certifications RN Minimum education Bachelors Languages English Years of experience 3+ years 1. Excellent benefits and great bonus structure 2. Reimbursement for childcare and elder care 3. Matching 401(k) 4. Reimbursement for continuing education Skills for This Job: 1. Current RN License, BSN preferred 2. 3-4 years of clinical practice in a hospital, clinic, home care, or nursing home setting 3. 1-2 years of utilization management experience a must 4. Case management experience desired 5. Disease management experience useful 6. Physician office experience helpful Details OBJECTIVE The Nurse Care Manager (NCM) is responsible, as part of the care team, for the overall patient Care Management process. The NCM provides oversight, guidance and support for the member care plan as developed through clinician, NCM and allied clinical support evaluation and physical risk assessment. The NCM uses nursing assessment and evaluation skills to help guide treatment and care decisions of the team and also identifies services and vendors for needed care while navigating patient benefit plans. The NCM works collaboratively with a multidisciplinary team of PCP, specialists, Behavioral Health clinicians, midlevel practitioners, pharmacist, nutritionist and social worker and the member, family and/or caregiver as they provide supportive care to enrolled members. The NCM ensures that medical services are managed in the most effective and appropriate health care setting according to the members medical condition. The NCM is responsible for developing and implementing a plan of care appropriate to the members clinical condition and psycho/social needs to maximize his/her level of functioning and establishing and maintaining communications with the responsible party of the member. SUMMARY Acts as an advocate for the member in all activities including nursing assessments, care coordination, care plan development, and communication. This position is accountable for identifying and developing innovative actions to meet the needs of the member from both the health care and psychosocial / socioeconomic dimensions of care as well as taking action for provision of services to meet those needs. The NCM utilizes nursing assessment skills and decision making authority to make recommendation and direct member care to meet the needs of the member and support the care recommendations of the multidisciplinary care team, the member, family and caregiver. Complete an initial member assessment on all new enrolled members, including a medical record review where available Documentation of current advance care directive status and ongoing efforts to reconcile member/caregiver misaligned goals with current clinical status Perform ongoing assessments commensurate with member risk level and/or identified need Development of a plan of care to establish a collaborative approach to member needs across clinicians and care delivery Initiate and maintain ongoing communications with clinicians involved in member care, especially PCP May meet with families/responsible parties for collaboration on member plan of care and discussion of member/family/responsible party contribution to the ongoing management of member condition Coordinate care across the continuum of care delivery model as the point of contact for member/caregiver and clinicians Act as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the member while promoting optimal clinical outcomes Monitor member progress to plan of care goals with emphasis on member care need during transitions and changes in member level of care needs Monitor member during admissions to both acute and skilled level of care to support member needs, establish as the point of contact to clinicians and member/responsible party/families to ensure consistent and ongoing communication between all involved parties Provide nursing/assisted living facility and provider training on program philosophy and approach to member care Main educator for members and/or families/responsible parties on disease processes and ways to manage disease progression as independently as possible Reviews medical information collected including medical records and/or performs additional assessment to facilitate medical necessity determinations regarding service requests as established with in the identified program guidelines and the state established nurse scope of practice Serve as a resource to the entire care delivery team Identification and reporting of any quality of care issues Maintain HIPAA compliance as it relates to member care SUPERVISORY Reports to the Health Services Director. EDUCATION AND EXPERIENCE Current RN License, BSN preferred 3-4 years of clinical practice in a hospital, clinic, home care, or nursing home Setting 1-2 years of utilization management experience a must Case management experience desired Disease management experience useful Physician office experience helpful PHYSICAL DEMANDS Below are the physical requirements which are representative of those that must be met by the employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Regular requirement to sit; use hands to touch, handle or feel. 2. Regular requirement to talk and listen. 3. Occasional requirement to stand; walk and reach with hands and arms 4. Occasional requirement to lift and/or move up to 10 pounds. 5. Vision abilities include close vision, peripheral vision, depth perception and ability to adjust focus.

Keywords: Avidity Exchange LLC, Oceanside , Nurse Care Manager, Healthcare , Oceanside, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Registered Nurse - Case Mgmt job in La Mesa, CA
Description: ICU/ Critical Care/ Intensive Care Unit Registered Nurse RN Travel Job br As an ICU/CCU RN, you will have the privilege of providing direct nursing care to the patients we serve. br Critical
Company: Gifted Healthcare
Location: La Mesa
Posted on: 09/28/2020

Seasonal Travel RN Jobs - ICU, CVICU, SICU, MICU, NICU, PICU
Description: Travel Nurses Needed - All RN Specialties Registered Nurses: Critical Care ICU, CVICU, SICU, MICU Hospitals are posting their seasonal staffing needs Would you like to spend the fall / winter somewhere (more...)
Company: HealthCare Travelers
Location: La Mesa
Posted on: 09/28/2020

OR Transplant Surgery RN Travel Nurse
Description: Nationwide Travel Nurse Jobs - Transplant Surgery RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: La Mesa
Posted on: 09/28/2020


Labor/Delivery RN Needed For A 13 Week Contract
Description: Skyline Med Staff is looking for some of the most talented nurses in the industry to fill 13 week and longer contract assignments. Skyline Med Staff offers one of the best competitive pay packages
Company: Skyline Med Staff
Location: Glendora
Posted on: 09/28/2020

General Dentist
Description: JOB TITLE: General Dentist 10 REPORTS TO: Lead Dentist/Regional Dental Director 10 FLSA: Exempt 10 10 Welcome to Preventistry We are revolutionizing oral health for everyone by redefining prevention (more...)
Company: Advantage Dental
Location: Glendora
Posted on: 09/28/2020

Licensed Health Insurance Agent - Work from Home, $1,000 Sign-Up Bonus Opportunity
Description: Assurance has opened up 100 spots nationally for Licensed Health agents to join our platform by 9/30 10 10 Join the revolutionary ASSURANCE platform in time to have the best Open Enrollment Period (more...)
Company: ASSURANCE Independent Agents
Location: Yucaipa
Posted on: 09/28/2020

RN Travel Nurse Medical Intensive Care (MICU)
Description: Nationwide Travel Nurse Jobs - Medical Intensive Care RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Santee
Posted on: 09/28/2020

Travel Nurse RN - ICU - Intensive Care Unit - $2,807 per week
Description: American Mobile Healthcare is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fountain Valley, California.Job Description RequirementsSpecialty: ICU - Intensive Care (more...)
Company: American Mobile Healthcare
Location: Fountain Valley
Posted on: 09/28/2020

Travel RN-ICU - Fountain Valley, CA (RN #)
Description: ul li RNnetwork has an excellent travel opportunity for a provider experienced in the following specialty: RN-ICU. This opportunity will be available in Fountain Valley, CA. The Intensive Care Unit (more...)
Company: RNnetwork
Location: Fountain Valley
Posted on: 09/28/2020

ICU Travel RN - Job Id: JO02919644
Description: Medical Staffing Options is seeking a
Company: Medical Staffing Options
Location: Fountain Valley
Posted on: 09/28/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

Oceanside RSS job feeds