Nurse, Individualized Care Nurse Care Manager

This is a fully remote position, open to applicants in California.

📋 Description

• Coordinate medical treatments, provide patient education, and connect patients with healthcare providers and support systems.

• Develop, implement, monitor, and evaluate clinical care and care management services.

• Manage oncology and chronic-care patients through telephonic communication.

• Assess medical, functional, and psychosocial needs.

• Conduct medication reconciliation and promote disease self-management and symptom control.

• Relay oncology provider instructions and distribute patient education materials.

• Arrange community referrals, appointments, tests, treatments, and procedures.

• Facilitate patient follow-up visits and transitions in care.

• Accurately and promptly document encounters, concerns, follow-up actions, and activities.

• Participate in interdisciplinary case conferences and team meetings.

• Identify patients for case management and evaluate or adjust care requirements.

• Analyze and review clinical pathway trends.

• Contribute to quality improvement initiatives by recognizing trends, obstacles, and opportunities.

• Manage a caseload of 100–150 members.

• Order patient supplies in collaboration with onsite clinical staff.

• Monitor and report member progress while escalating complex cases as needed.

• Conduct outreach for transitional care and assist with discharge planning.

• Triage patient needs and determine the appropriate actions, including scheduling appointments, provider triage, or directing to emergency services.

• Connect onsite clinical teams with community resources.

• Meet regularly with management to discuss call monitoring, quality reviews, productivity, and objectives.

• Attend relevant meetings, seminars, and conferences.

⛳️ Requirements

• Current, unrestricted California license as a Registered Nurse.

• Minimum of 5 years of hospital or clinical experience involving patients with complex chronic disease states preferred.

• Strongly preferred experience in Care Management.

• Oncology patient experience is highly preferred.

• Proficient in Microsoft Office products.

• Basic computer skills, including prior experience with electronic health records (EHR) and Excel spreadsheets.

• Exceptional verbal and written communication abilities.

• Capability to work collaboratively and maintain a team-focused approach.

• Excellent organizational skills.

• Strong skills in presenting, communicating, multitasking, and time management.

• Ability to identify issues and propose solutions.

• Capacity to work independently with minimal supervision.

• Commitment to enhancing health equity and supporting vulnerable populations.

• Ability to adhere to HIPAA guidelines.

• Availability to work Monday through Friday, from 8:30 am to 5:00 pm PST.

• Attendance at mandatory new-hire training from 8:00 am to 5:00 pm CST.

• A dedicated, quiet, private, distraction-free remote work environment.

• High-speed broadband internet connection that meets specified speed, ping, and hardwired-router requirements.

• Bilingual skills are a plus.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Paid time off plan.

• Health savings account (HSA).

• 401k savings plan.

• Access to wages before payday with myFlexPay.

• Flexible spending accounts (FSAs).

• Short- and long-term disability coverage.

• Work-life resources.

• Paid parental leave.

• Healthy lifestyle programs.

• Employer-provided computer, technology, and equipment.

• Remote work arrangement.