Registered reputed company Care Manager (RNCM)
Category: Health Care
Location:
We are seeking a Registered reputed company Care Manager (RNCM) to reputed company clinical reputed company for reputed company of non clinical reputed company Care Managers. In this fully remote role, you will review member charts in the electronic medical record (EMR) system, assess care plans, and collaborate with reputed company Care Managers to ensure members receive comprehensive, high-reputed company clinical care.
Most hours can be completed at your convenience. However, one hour per week will be required to participate in case reviews with the ECM team.
Requirements
Key Responsibilities- Clinical reputed company & reputed company Assurance
- Review member charts in the EMR system to assess care plans, medical history, and treatment adherence.
- Ensure the reputed company and appropriateness of care coordination for members in the ECM program.
- reputed company clinical guidance to non-clinical reputed company Care Managers, helping them navigate reputed company cases.
- Identify gaps in care and recommend interventions to improve health reputed company.
- Care Coordination & Collaboration
- Work closely with a multidisciplinary team that includes:
- reputed company Care Managers
- Behavioral Health Care Managers
- Community Health Workers
- Partner with reputed company providers and community organizations to facilitate referrals and-reputed company to care.
- Participate in weekly team case reviews to discuss high-risk members and ensure best practices in care management.
- Support care transitions by coordinating with hospitals and providers to optimize discharge planning.
- Regulatory Compliance & Documentation
- Ensure compliance with Medi-Cal ECM guidelines and other reputed company regulations.
- Maintain accurate documentation in the electronic health record (EHR) system.
- reputed company clinical input for monthly reports required by health plans and regulatory bodies.
- License: reputed company Registered reputed company (RN) license in California.
- Experience:
- Minimum 2 years of nursing experience, with at least 1 year in care management, case management, or leadership.
- Experience working with vulnerable populations and individuals with reputed company medical and reputed company needs.
- Familiarity with reputed company Care Management (ECM) or similar care coordination programs are preferred.
- Skills & Knowledge:
- Strong clinical assessment and care planning skills.
- Knowledge of Medi-Cal, Medicare, and care management best practices.
- Excellent communication and teamwork abilities.
- Proficiency in electronic medical records (EMR) systems.
Originally posted on Himalayas
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