RN Case Manager (Non-Supervisory)
$97,160–$135,496 year
On-siteAlpine, California, United States or Campo, California, United States
Job Summary
Manage chronic illness, mental health, and life-altering cases by assessing physical and mental wellness, developing individualized care plans, and coordinating referrals for ambulatory, inpatient, post-acute, and community services. Triaging referrals within 24 hours to direct urgent care coordination, while collaborating with multidisciplinary teams to establish and adjust treatment plans based on patient progress. Document all interactions, referrals, and case reports in the NextGen EHR, evaluate outcomes against recognized guidelines, and assist families with financial assistance and eligibility determinations. This role may require covering RN clinical duties during staffing shortages and working weekends or evenings as needed.
Required Qualifications
- Current California Registered Nurse license
- Minimum of 3 years' experience in a similar healthcare role
- Knowledge and understanding of HIPAA in the ambulatory care setting
- Absolute ability to maintain confidentiality according to standards
- Current CPR certification
- Current ACLS certification
- Valid driver's license
- Ability to be insurable under SIHC vehicle insurance policy
- Reputation for honesty and trustworthiness
- Responsibility and ability to exercise good judgment
- Ability to accept administrative supervision
- Ability to follow detail
- Ability to interact effectively and communicate with people in a professional and courteous manner
- High confidentiality
- Cultural and community awareness and sensitivity
- Strong team building skills
- Strong interpersonal skills
- Strong organizational skills
- Ability to establish and maintain effective peer relationships with coworkers
- Ability to express ideas clearly, concisely
- Ability to address audiences effectively
- Ability to exercise balanced judgment in evaluating situations and making decisions
- Willingness to be part of a team
- Ability to cooperate in accomplishing department goals and objectives
- Ability to prioritize
- Ability to meet deadlines
- Ability to take initiative
- Ability to be proactive
- Ability to function in a rapidly changing environment
- Ability to work with people of all social and ethnic backgrounds
- Ability to resolve conflicts
- Ability to negotiate situations
- Ability to facilitate consensus
- Ability to reach, bend, climb, stoop, lift up to 25 lbs
- Reliable transportation
- Car insurance as required by the state
- Ability to travel as needed
- Ability to learn and comply with all SIHC policies and procedures
- Ability to understand the implications and complexities of all compliance policies
- Ability to report violations or suspected violations of compliance policies or regulations
- Ability to successfully pass a pre-employment physical exam
- Ability to successfully pass a tuberculin skin test or x-ray
- Ability to successfully pass a blood/urine/drug screening test
- Adequate health to perform all duties of the position
- Must be able to accurately assess the criticality of need within 24 hours of referral
- Must be able to direct Care Coordinator and/or the Patient Advocate to coordinate care for patient in urgent situations
- Must possess current CPR; ACLS must be obtained in the first four weeks of employment
- Must be able to lift up to 25 lbs
- Must be available for weekends and evenings as needed
- Must be enrolled, or be eligible for enrollment, as an American Indian with their Tribe, or must be certified as an American Indian from the designated Tribal Representative (for Indian Preference)
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