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RN Case Management

Company: United Health Systems
Location: San Leandro
Posted on: January 12, 2022

Job Description:

Title: RN Case ManagerLocation: San Leandro, CADuration: 13 weeks assignmentPosition Summary:The RN Case Manager is a practice-based RN who directly supports CSHC's highest risk patients. In collaboration with other members of the healthcare team, the RN Care Manager is responsible for organizing, coordinating, and providing care coordination and care management services to patients within the practice who are most at risk for health deterioration, sentinel events, and/or poor outcomes.PRIMARY RESPONSIBILITIES:Case Management Systems:Manage CSHC high-risk patient registryOversee systems for identifying high risk patients through EMR, referrals, registries from health insurance payersEnsure validity of registry; collaborate with Information Technology on registry functionality.Develop a tracking system for patient care coordination and care management across the continuum, including care transitions, Primary and Specialty care.Act as clinical liaison for Payer Based Care Management programs, including the Senior Care Options program and the One Care ("Dual Diagnosis") Program.Direct Patient Care:Conduct comprehensive assessment of patients' physical, mental, and psychosocial needsDevelop care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, and minimize hospital and ED utilizationUtilize behavioral strategies help patients adopt healthy behaviors and improve self-care in chronic disease management. Promote self-management goals.Assist patients in navigating the health care system. Coordinate Specialty care, follow-up on test results and other care coordination needs.Follow-up with patients within 24 hours on inpatient discharge & within 48 hours of ED visit notificationPartner with external case management programs to coordinate careOngoing evaluation and documentation of patient progress/ risk status Document in EMR; communicate with care teamsDocument in EMRQualifications:2 years of Case Management experienceBLS and ACLS requiredExperience in case management, disease management, home health care nursing, hospital nursing or intensive outpatient education and self-management supportCalifornia RN license

Keywords: United Health Systems, San Leandro , RN Case Management, Executive , San Leandro, California

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