Pediatric RN Case Manager

Location: Salinas, CA
Date Posted: 02-01-2019
Pediatric RN Case Manager – Managed Care
Salinas, CA
* Multiple Positions Open - available in Merced, Salinas, or outside of Santa Cruz *
** Does NOT require Health Plan Experience - great way to get your Foot in the Door! **
*** Does NOT require Pediatric Nursing Experience - any Case Manager will work! ***
Case Manager Job Summary:
  • The Case Manager plays an integral part in the coordination of care assessing the member’s condition and providing them the necessary resources, options, and coordination for a healthy care outcome.
  • The primary responsibility of the Nurse Case Manager is to coordinate and monitor the care of Health Plan members and develop a nursing plan of care.
  • They will participate in interdisciplinary conferences to review clinical assessments, update care plans and determine follow-up frequency.
  • The Case Manager also acts as an advocate for members and their families linking them to other members of the care team to help them gain knowledge of their disease process and to identify community resources for continued growth toward a maximum level of independence.
  • The Nurse Case Manager will work specifically on behalf of newborns, infants, children, and other pediatric members.  These pediatric members are primarily enrollees of a state foster family program, and some may involve medically complex cases or co-morbidties.
Case Manager Background:
  • Valid, unrestricted state Registered Nurse (R.N.) license.
  • 3 years’ acute care clinical nursing experience.
  • 1 years’ experience with Care Coordination, Case Management and/or discharge planning.
  • Case Management experience can be from a Health Plan, TPA, Hospice, Home Health, or Hospital setting.
  • Experience with Foster Care or home care experience is preferred.
  • Experience working with Federal and State assistance programs (Medicare/Medicaid/etc).
  • Basic computer literacy (MS Office) and typing skills are necessary.
410.885.4745 (CALL – TEXT – FAX)

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