Top 63 snp rn case manager Jobs

Temp RN Case Manager
Santa Clara Family Health Plan —San Jose, CA
- $53.45 - $68.14 an hour
- Temporary
- Spanish
- RN License
- Working with individuals with disabilities
Quick Apply
9d
Case Manager Registered Nurse - Field in Bergen/Hudson Counties
Aetna —Hoboken, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
Registered Nurse Case Manager - LTSS - Field in Passaic County, NJ
Aetna —Paterson, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
RN Case Manager
Santa Clara Family Health Plan —San Jose, CA
- $111,168 - $172,310 a year
- Full-time
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
RN Case Manager
MJHS —Rochester, NY
- $90,000 - $110,000 a year
- Full-time
- Hybrid work
- Nursing
- Adults
- Mid-level
Quick Apply
Case Manager II, RN
Clever Care Health Plan —Huntington Beach, CA
- $88,355 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Nursing
- Health insurance
Case Manager II, RN
Clever Care Health Plan —Arcadia, CA
- $88,355 - $100,000 a year
- Full-time
- Hybrid work
- Background check
- Spanish
- Nursing
- Health insurance
Case Manager Registered Nurse - Field in Essex County, NJ
Aetna —East Orange, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
Case Manager Registered Nurse - Field In Salem County NJ
Aetna —Vineland, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- Up to 50% travel
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
Case Manager Registered Nurse - Field in Middlesex County NJ
Aetna —East Brunswick, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
3d
Case Manager Registered Nurse - Field Ocean and Surrounding Counties NJ
Aetna —Lakewood, NJ
- $66,575 - $142,576 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
3d
Remote Telephonic RN Case Manager – Special Needs Plan (California RN License Required) Bilingual preferred
Alignment Healthcare USA, LLC —Orange, CA
- $77,905 - $116,858 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Paid holidays
- Health insurance
Quick Apply
Care Coordinator (LPN/FMG)
Leon Health —Miami, FL
- Rotating weekends
- Nursing
- Mid-level
- Continuous improvement
Care Management RN (Michigan Licensed)
Clearlink Partners —Remote
- $70,000 - $100,000 a year
- RN License
- Writing skills
- English
Quick Apply
4d
RN Care Manager (Clinic)
Prominence Health —Reno, NV
- $69,000 - $103,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Director of Integrated Case Management for Medicare
NYC Health + Hospitals —New York, NY
- $155,000 - $170,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- 5 years
- Commuter assistance
- Paid holidays
Remote-Manager, Case Management SNP (California RN License Required)
Alignment Healthcare USA, LLC —Phoenix, AZ
- $113,332 - $169,999 a year
- Full-time
- Nursing
- RN License
- Supervising experience
Quick Apply
10d
Care Coordinator (LPN/FMG)
Leon Health Plan —Doral, FL
- 8 hour shift
- Spanish
- Nursing
- English
Quick Apply
Health Plan Care Manager (RN or LSW)
CommuniCare Advantage —Cincinnati, OH
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Supervisor, Care Management
VIVA HEALTH —Birmingham, AL
- Microsoft Word
- Nursing
- RN License
- Paid parental leave
- 401(k)
Quick Apply

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Temp RN Case Manager

Santa Clara Family Health Plan -
San Jose, CA

Quick Apply

Job Details

Temporary | Full-time
$53.45 - $68.14 an hour
9 days ago

Qualifications

Spanish
Long-term care regulations
Utilization review
RN License
Working with individuals with disabilities
Managed care organization experience
Regulatory compliance
Utilization management

Full Job Description

About Us:

Santa Clara Family Health Plan (SCFHP) is a local, community-based health plan dedicated to improving the health and well-being of the residents of Santa Clara County. Working in partnership with providers and community organizations, we serve our neighbors through our Medi-Cal and SCFHP DualConnect (HMO D-SNP) health care plans.

About the role:

TEMPORARY POSITION (6 months, depending on department needs)

The RN Case Manager is responsible for providing on-going case management services for Santa Clara Family Health Plan (SCFHP) members. As a SCFHP member advocate, the RN Case Manager facilitates communication and coordination among all participants of the care team to ensure member identified goals and needed services are provided to promote quality cost-effective outcomes. Through the development and implementation of member individualized care plans, the RN Case Manager provides medical and psychosocial case management support to help coordinate resources and services for individuals across the healthcare and social services continuum, and facilitate the use of available healthcare benefits in compliance with all applicable state and federal regulatory requirements, SCFHP policies and procedures, and business requirements.

Day to Day:

Conduct, review and document comprehensive clinical and/or psychosocial assessments and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member’s physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs.
Maintain case files by assuring that they are documented in accordance with SCFHP policies and procedures, state and federal requirements and organized in a manner that adheres to standards for audit requirements.
Facilitate involvement of the member and/or family/responsible party for development and implementation of a member specific care plan which includes individualized prioritized goals.
Coordinate member’s care with PCP, Specialists, Behavioral Health and Long Term Services and Supports providers to assist member to achieve or maintain a level of functional independence which allows them to remain at home or in the community.
Facilitate and coordinate communication with member’s interdisciplinary care team including SCFHP internal staff, as well as the member’s physicians, specialists, public services, community agencies and vendors to ensure care plan development and coordination of benefits and services.
Facilitate successful transition of care for members who move between care settings by coordinating services for medical appointments, pharmacy assistance and by facilitating utilization review.
If assigned to MLTSS, support the transition of long-term care members residing in nursing facilities to a lower level of care, or community setting in partnership with MLTSS providers and programs.
If assigned to Community Based Adult Services (CBAS):
Conduct face-to-face, on-site eligibility determinations for CBAS services with members using the standardized California Department of Health Services approved tool – CBAS Eligibility Determination Tool (CEDT) & Patient Health Record Quick Guide;
Review and approve Individual Plan of Care for CBAS members; and
Provide care coordination to targeted CBAS members including assessment, care plan implementation and care transitions.
Conduct telephonic and/or visits/assessments, as needed in the home, facility or community setting.

About You:

Active California RN License without restriction.
Minimum three years of experience in case management, discharge planning, or education or certifications, or equivalent experience.
Knowledge of managed care principles and practices with emphasis in Utilization Management and/or Case Management.
Clinical knowledge and critical thinking skills with the ability to assess individualized whole-person care needs necessary to develop an effective care plan.
Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance.
Spanish, Vietnamese, Chinese, or Tagalog language bi-lingual skills. (Desired)
Experience working with designated member population (e.g. behavioral health, seniors and persons with disabilities, children).

Please review the full job description on our Career’s page:

https://phf.tbe.taleo.net/phf04/ats/careers/v2/viewRequisition?org=SANTCLAR2&cws=38&rid=3118

Job Types: Full-time, Temporary

Pay: $53.45 - $68.14 per hour

Work Location: In person

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snp rn case manager jobs

Temp RN Case Manager

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