TITLE: Community Care, RN
LOCATION: Primarily remote, with home visits in San Diego and Imperial County as needed and sometimes at our admin offices for occasional team meetings or onsite needs
JOB TYPE: 13 week contract, with opportunity to extend
SCHEDULE: Mon – Fri, 8am – 4:30pm
POSITION SUMMARY: Reporting to the HCBA Waiver RN Supervisor, and as a member of the Care Management Team, the Community Care, RN (HCBA Waiver RN) coordinates an interdisciplinary approach to support continuity of care. This role develops and monitors the plan of treatment for a caseload of the Home and Community-Based Alternatives Waiver program participants and provides community-based (in-home and telephonic) care management services to ensure the health, safety, and well-being of vulnerable and high-risk populations. This includes providing utilization management, transfer coordination, discharge planning, and issuance of all appropriate authorizations for covered services as needed by members. This position works closely with all members of the Care Management Team to develop, evaluate, and monitor service and care coordination plans that have a direct impact on improved outcomes and cost containment.
EDUCATION REQUIRED:
High School Diploma/GED
Graduate of an accredited registered nursing program.
BSN or MSN degree
Current California RN licensure required.
Current Basic Life Support (BLS) Certification
EXPERIENCE PREFERRED:
- 2 years of experience working in a managed care health plan and/or
- 2 years of experience in utilization review, case management, discharge planning and/or
- 2 years of experience in transitional care and acute care settings (critical care, acute hospital care, long term acute care, skilled nursing care, long term care)
- Knowledge of and/or experience with Managed Care Health plans, Medi- Cal/Medicaid, and/or Medicare
Benefits:
Medical, dental, and vision insurance, along with optional voluntary benefits (short-term disability, critical illness, accident plans)
401(k) retirement plan
Direct deposit
Continuing education opportunities and tuition discounts
Referral bonus program up to $1,250
If you meet the qualifications and are interested in advancing your career with a leading healthcare staffing organization, apply today and a recruiter will contact you promptly.
