Case Manager-RN - Brimhall CHC

Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient.

As we grow our team, we are looking for individuals who believe the patient is always #1.

Why work for us?

• Competitive pay which matches your abilities and experience
• Health coverage for you and your family
• Generous number of vacation days per year
• A robust wellness plan and health club discounts
• Continuing education assistance to grow and further your talents
• 403(B) plan with company matching

Intrigued? We'd love to hear from you! Please review the job details below and then click "apply."

We're looking for someone to join our team as a Case Manager-RN who:

The Registered Nurse (RN) Case Manager (CM) provides comprehensive clinical case management. The RN CM leads and collaborates with Care Coordinators (CCs), Outreach Workers, Medical Assistants (MAs), and the interdisciplinary care team to ensure delivery of high-quality, member-centered, and cost-effective care. The RN CM is responsible for conducting comprehensive nursing assessments, developing and overseeing individualized care plans, providing condition-specific education to promote self-management, performing medication reconciliation, and delivering ongoing clinical consultation and supervision to Care Coordinators and other clinical support staff. The RN CM practices independently within the full scope of RN licensure and serves as a clinical leader.

Essential Functions:

• Manages patient cases within the electronic health record (EHR) system.
• Monitors, documents, and conducts case management activities in the patient's EHR.
• Provides clinical leadership, direction, and consultation to Care Coordinators and Outreach Workers regarding patient case management.
• Ensures timely review, follow-up, and completion of provider referrals, diagnostic testing, and treatment plans.
• Coordinates case management and care coordination activities with the assigned Care Coordinator, ensuring all medical needs are addressed.
• Provides nursing assessment, care planning, and clinical decision-making for all co-managed cases.
• Performs case management duties in accordance with RN scope of practice, and organizational policies.
• Collaborates with local hospital staff-including Primary Care Providers (PCPs), Specialists, Hospitalists, and ancillary providers-on member care plans and discharge planning.
• Conducts case management and care coordination activities through electronic systems, phone communication, or in-person interactions.

Key Responsibilities include, but are not limited to:

• Conduct health assessments to identify individual needs and inform creation of member- centered care plan in collaboration with CC and other contributors to the health assessment process.
• Collaborate with Pharmacy team member to ensure pharmacy needs are met.
• Coordinates with Outreach Worker to ensure patients has access to services appropriate to their health needs.
• Collaborates with ICT to monitor and routinely update care plan goals and interventions match patients' motivation and priorities.
• Collaborates with ICT and patients Primary Care Provider routinely on prioritization of goals.
• Collaboratively initiate, present and participate in ICT conferences
• Perform other duties as directed. Please see attachment for full job description.

You'll be successful with the following qualifications:

1. Graduation from an accredited School of Registered Nursing.

2. Current California Registered Nurse License required or Interim permit with successful completion of the RN license prior to the end of probation.

3. Current Basic Life Support Card issued through the American Heart Association required. Supervisory experience preferred.

4. Must adhere to Clinica Sierra Vista'a employee health/immunization requirements or provide a valid exemption request for subsequent approval.

Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they're counting on us.

Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and/or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!