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RN Care Manager

MJHS

Cypress, CA
1 day ago

Job Description

RN Care Manager at MJHS summary:

The RN Care Manager provides comprehensive case management to patients enrolled in Medicare and Medicaid managed care plans, coordinating medical, social, psychological, physical, and spiritual needs. They develop, implement, and monitor individualized care plans in collaboration with primary care providers, caregivers, and healthcare teams to support patient independence. This role requires a licensed RN with experience in managed care or related nursing fields, and a focus on improving patient outcomes in a managed care setting.

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Reporting to the Supervisor of care management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by Developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management

  • Associate’s Degree in Nursing for experienced candidates
  • BSN for new graduates
  • NYS RN license required
  • CCM preferred
  • 1 year of RN experience in managed care, home care, acute care or nursing home preferred

Keywords:

RN Care Manager, managed care nurse, care management, nursing, home health care, Medicare managed care, Medicaid managed care, patient care planning, case management, healthcare coordination