Pay Range: $40/hr-$43/hr

Benefits:
The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, (paid time , paid sick and safe time , hours of paid vacation time, weeks of paid parental leave, paid holidays annually - AS Applicable)

About the Role:

• We are looking for a Registered Nurse (RN) to assist with closing Quality HEDIS gaps and other STARs measures.
• This role will involve member outreach, care planning, assessment completions, and coordination of benefits.
• The position is fully remote and requires working Monday to Friday from 8 am to 5 pm PST.

Responsibilities

• Conduct member outreach to educate on gaps of care and health conditions
• Create complex care plans based on all health conditions
• Coordinate care with providers and other community partners
• Provide case management services to members with chronic or complex conditions
• Develop and implement a case management plan in collaboration with the member, caregiver, physician, and other healthcare professionals
• Monitor the plan of care effectiveness and modify as needed
• Promote integration of services for members including behavioral health and long term care 
• Maintain department productivity and quality measures
• Manage and complete assigned work plan objectives and projects in a timely manner
• Attend regular staff meetings and participate in Interdisciplinary Care Team (ICT) meetings
• Assist with the orientation and mentoring of new team members

Education Qualification

• RN licensure

Required Skills

• Ability to assess and educate on complex health conditions 
• Experience with insurance case management preferred
• Strong communication and interpersonal skills
• Ability to work independently and as part of a team
• Proficient in using IT equipment such as laptops, dual monitors, mouse, keyboard, and docking station If you are a dedicated RN with 3-5 years of experience in healthcare management and coordination, we encourage you to apply for this rewarding opportunity to make a difference in the lives of Client Healthcare members.