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Zócalo Health

Healthcare pa' la Gente

RN Case Manager

ManagerManagerFull TimeRemoteSeniorTeam 51-200Since 2021H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

2 days ago

Salary

$85K / year

Seniority

Senior

Bachelor Degree3 yrs expEnglishSpanish

Job Description

RN Case Manager

Zócalo Health

• Conduct comprehensive clinical assessments and identify medical, behavioral, and social barriers to health. • Develop, implement, and monitor individualized care plans for high-risk members. • Manage a panel of members with complex healthcare needs across multiple settings and providers. • Coordinate transitions of care following emergency department visits, hospitalizations, and skilled nursing stays. • Collaborate closely with Community Health Workers to ensure members receive both clinical and community-based support. • Identify gaps in care and proactively intervene to prevent avoidable utilization and adverse outcomes. • Provide health coaching, disease management education, medication support, and self-management training. • Participate in interdisciplinary care team meetings and case reviews. • Maintain accurate documentation and regulatory compliance requirements associated with ECM and related programs. • Support quality, utilization, and member outcome goals established by the organization and health plan partners.

Job Requirements

  • Active Registered Nurse license in California.
  • 3+ years of nursing experience in care management, case management, population health, home health, primary care, managed care, or related settings.
  • Experience managing medically complex and high-risk populations.
  • Strong understanding of care coordination, utilization management, transitions of care, and chronic disease management.
  • Excellent communication and relationship-building skills.
  • Ability to work effectively in interdisciplinary and remote care environments.
  • Required: Fluency in English and Spanish, including the ability to communicate effectively both verbally and in writing.

Benefits

  • Comprehensive benefits including medical, dental, and vision
  • 401k with 4% match
  • Flexible PTO policy - take the time you need to recharge
  • $1,000 home office stipend
  • We provide the equipment needed for this role.
  • Opportunity for rapid career progression with plenty of room for personal growth.

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