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rn case manager managed care remote

TEEMA Group

<div>Job Title: Registered Nurse (RN) Disease Manager
Job Overview: 
The Registered Nurse (RN) Disease Manager is responsible for coordinating care and managing the health outcomes of patients with chronic or complex health conditions. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
Key Responsibilities:<ul><li>
Patient Assessment: Conduct comprehensive assessments of patients&rsquo; physical, emotional, and psychosocial needs related to their chronic conditions.</li><li>
Care Coordination: Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients.</li><li>
Disease Education: Provide education to patients and their families regarding their diagnoses, treatment plans, and self-management techniques to improve disease outcomes.</li><li>
Case Management: Monitor patient progress and adjust care plans as necessary. Ensure that patients are following their prescribed treatment and managing their conditions effectively.</li><li>
Data Management and Reporting: Track patient outcomes and document interactions accurately. Utilize health information technology to document care, track patient progress, and report to appropriate stakeholders.</li><li>
Advocacy: Advocate for the patient&rsquo;s needs, including obtaining necessary resources or services that will improve their health outcomes.</li><li>
Prevention and Health Promotion: Promote preventive care, including vaccinations, screenings, and lifestyle modifications to reduce the impact of chronic conditions.</li><li>
Collaboration with Providers: Maintain communication with healthcare providers to ensure continuity of care, timely follow-ups, and updates on patient status.</li></ul>
Qualifications:<ul><li>
Education: Bachelor&rsquo;s Degree in Nursing (BSN) or an Associate's Degree in Nursing (ADN) with appropriate certifications.</li><li>
Licensure: Current Registered Nurse (RN) license in the state of employment.</li><li>
Experience: 3-5 years of clinical nursing experience, preferably in disease management, case management, or a related field.</li><li>
Certifications: Certification in Disease Management (CDM), Case Management (CCM), or other relevant certifications preferred.</li><li>
Skills: Strong communication, problem-solving, and critical thinking skills. Ability to work independently and as part of a team. Proficiency with electronic health records (EHR) and other healthcare technology.</li></ul>
#Workwolf</div>

RN Case Manager – Managed Care REMOTE

TEEMA

<div><h4 class="jobSectionHeader">Make a Difference in the Lives of Families Affected by Autism</h4>
We&rsquo;re looking for a dedicated Autism Services Navigator (ASN) to support families enrolled in the Autism Care Demonstration (ACD). In this role, you&rsquo;ll be a trusted advocate, guiding beneficiaries diagnosed with autism spectrum disorder (ASD) through the care process. You&rsquo;ll coordinate services, provide crucial resources, and help families overcome barriers to ensure they receive the highest quality of care in a cost-effective manner. If you have a passion for helping others and expertise in care management, this is the role for you!<h4 class="jobSectionHeader">
What You&rsquo;ll Do</h4><ul><li>
Apply knowledge of HIPAA privacy regulations and accreditation standards to ensure compliance in all interactions.</li><li>
Assess beneficiary needs against ACD program criteria to determine eligibility and identify high-risk individuals needing enhanced support.</li><li>
Educate families on ACD benefits and available services to ensure they receive the best possible care.</li><li>
Make timely enrollment decisions and communicate approvals efficiently.</li><li>
Conduct comprehensive case management assessments and collaborate with families and providers to create individualized Comprehensive Care Plans (CCPs).</li><li>
Ensure continuity of care by sharing CCPs with beneficiaries, primary care managers (PCMs), and relevant providers while updating them as needed.</li><li>
Obtain necessary agreements for sharing protected health information to coordinate care effectively.</li><li>
Continuously monitor and adjust CCPs to reflect evolving needs, treatments, and available funding options.</li><li>
Document all actions, updates, and changes related to the beneficiary&rsquo;s care journey.</li></ul><h4 class="jobSectionHeader">
What You Bring</h4><ul><li>
Current, unrestricted licensure as a Licensed Clinical Social Worker (LCSW), Registered Nurse (RN), or another licensed mental health professional with a Case Management Certification (CCM). Ideally licenses will be current in CA</li><li>
At least three years of full-time clinical experience providing direct care.</li><li>
Experience in pediatrics, behavioral health, ASD, healthcare environments, and care management.</li><li>
Ability to obtain an industry-recognized case management certification within four years of hire.</li><li>
Must pass a Department of Defense (DoD) background investigation.</li><li>
U.S. Citizenship required.</li></ul><h4 class="jobSectionHeader">
Preferred Qualifications</h4><ul><li>
Two years of experience working with individuals diagnosed with ASD and/or the TRICARE ACD program.</li><li>
Two years of case management experience.</li><li>
Industry-recognized case manager certification.</li></ul>
Join us in making a real impact&mdash;apply today and help families access the care and support they deserve!
#Workwolf #BCDC_Consulting</div>

RN Case Manager - Autism Services Navigator California

A Step to Freedom Inc.

Case ManagerFull Job DescriptionA Step to Freedom is a 501(c)(3) nonprofit organization with a mission to enhance the lives of low-income individuals and families who struggle with social and economic disparities such as homelessness, lack of education, substance abuse, mental illness, and recidivism by providing a safe, supportive, and nurturing environment to break cycles, heal and thrive.A Step to Freedom is looking to add an Interim Case Manager to our team. This position will be responsible for, but is not limited to, screening and assessing clients; creating, implementing and monitoring individual service plans; crisis intervention; connecting clients to medical, mental health, employment, housing and other community resources. This is a full-time role and will primarily work Monday through Friday, 9am to 5pm. Please note that this is not a remote opportunity.<ul><li>Provide case management which includes, but is not limited to, screening and</li></ul>assessing clients; creating, implementing and monitoring individual service plans; crisis intervention; connecting clients to medical, mental health, employment, housing and other community resources<ul><li>Meets regularly with clients to develop individualized re-entry care and life plan</li></ul>goals; encourages progress towards these goals through community resources.<ul><li>Assist clients in obtaining any and all public benefits for which they are eligible</li><li>Mentor, motivate and empower the client to successfully re-enter the community by establishing a trusting and open relationship with the client</li><li>Provide health education and counseling around disease management, medication adherence, mental health and SUD care, and self-care</li><li>Identifies community resources appropriate to meet clients&rsquo; needs as identified by re-entry care plan</li><li>Compose and process various types of correspondence to include letters, sensitive and confidential client information, and other client documentation</li><li>Travel as required to meet client needs and program guidelines</li><li>Other duties as assigned</li></ul>About A Step to FreedomWe offer an inclusive environment where all are empowered to share their diverse perspectives and experiences so we can ultimately be better together. Our policies, practices, programs, activities and decisions regarding employment, hiring, assignment, compensation, and volunteerism are not based on a person&rsquo;s race, color, sex, age, religion, national origin, mental or physical disability, ancestry, military discharge status, sexual orientation, gender identity or expression, marital status, parental status, housing status, or other protected status.A Step to Freedom is an at-will employer, meaning we or our employees have the right to terminate the employment relationship at any time, for any reason, with or without cause.Job Type: Full-timePay: $23 - $26 Hourly DOESchedule:<ul><li>8 hour shift</li></ul>Education:<ul><li>Bachelor's (Preferred)</li></ul>Experience:<ul><li>social services: 2 years (Preferred)</li><li>LAHSA (HMIS) (Required)</li></ul>Work Location:<ul><li>One location</li></ul>Job Type: Full-timePay: $23.00 - $26.00 per hourBenefits:<ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>People with a criminal record are encouraged to applyApplication Question(s):<ul><li>Do you know Champ software?</li></ul>License/Certification:<ul><li>Are you familiar with Housing First and Harm Reduction? (Preferred)</li></ul>Work Location: In person

Case Manager Interim Housing (Harvard)

Clinica Romero

<div>Position Title: Case Manager
Department: Care Management Services Department

Position Reports to: Care Management Services Program Manager

Status: Full-time/Non-Union 
 
Summary: The Case Manager works as a team member of the Care Management Services Department that works to provide care management, coordination, and supportive services to Clinica Romero patients. The Case Manager will work with individual patients to develop personal goals, person-centered care plans, and support patients in meeting their goals. The Case Manager will use the &ldquo;whatever it takes&rdquo; approach to help patients get connected to resources and supportive services that support health outcome improvement. This can include, but is not limited to, resources related to transportation, food, specialty medical care, legal services, and housing. The Case Manager will report to the Care Management Services Program Manager. 
Duties and Responsibilities:
<ul>
<li>Provides support, empowerment, education and case management services to patients to ensure improved health outcomes.</li>
<li>Conducts periodic assessments of patient&rsquo;s progress with the developed care plan, related goals, and needed services.</li>
<li>Provides support and assistance to patients with accessing resources in the community.</li>
<li>Educates patients with chronic illness about evidence-based standards of care and self-management of their chronic illness.</li>
<li>Educates patients about the health care system and facilitates relationship building between the two.</li>
<li>Documents work with patients through appropriate record keeping that follows the project&rsquo;s policies and procedures.</li>
<li>Listens attentively to patient needs and suggestions and addresses their issues fairly and professionally, and coordinates with immediate supervisor for supervision.</li>
<li>Develops and maintains strong ties to the community, local community-based organizations, and government program offices.</li>
<li>Links patients to appropriate social service resources and medical care programs, and assists them in completing required paperwork in order to enroll them.</li>
<li>Links patients to specialty healthcare services including but not limited to mental health, substance use disorder, dental, transportation to access healthcare services, and other resources as needed.</li>
<li>Participates in staff meetings, trainings, conferences, program evaluation and program development.</li>
<li>Serves as support to primary care team to ensure patient follows care plan as specified by the primary care provider.</li>
<li>Keeps highly organized files for each patient and enters appropriate data into the clinic&rsquo;s EHR system (Epic).</li>
<li>Participates in case conferencing meetings and other community meetings.</li>
<li>Coordinates with other outreach teams in joint outreach efforts.</li>
<li>Perform follow-ups and wellness checks on existing patients.</li>
<li>Assists and supports patients in maintaining cooperative and effective relationships with case managers and other service providers.</li>
<li>Coordinates social, educational, and other activities/appointments for patients.</li>
<li>Provides specific information about public assistance programs for health and social services to which patients may be entitled.</li>
<li>Develops a written care plan specific to patient needs.</li></ul> 


Qualifications
<ul>
<li>Fluent in Spanish.</li>
<li>Knowledge and experience in social work, healthcare, community outreach, or human services.</li>
<li>Degree from an accredited college or university in social work, human services or a related field (highly preferred).</li>
<li>Must be highly motivated and a self-starter. The ability to communicate with and relate to a diverse group of people including patients, community, and other staff.</li>
<li>Excellent organizational skills and the capability to work in a fast-paced environment.</li>
<li>Strong knowledge of social services and resources.</li>
<li>Effective crisis management skills.</li>
<li>Proficiency in MS Office Suite (Word, Excel, PowerPoint, Outlook)</li>
<li>Ability to accurately enter data in to CMOAR databases (EPIC/OCHIN)</li>
<li>Valid California Class C Driver License or the ability to utilize an alternative method of transportation when needed to carry out job-related essential functions.</li>
<li>Valid automobile liability insurance.</li>
<li>Travel is required for external homeless outreach events and/or as needed between clinic sites.</li></ul></div>

ECM Case Manager

Manchester Healthcare Center

<div>RN Supervisor Job Description
Job Summary:
We are seeking a dedicated and skilled RN Supervisor to join our team at Manchester Healthcare Center in Los Angeles, CA. As a RN Supervisor, you will be responsible for overseeing the daily operations of our subacute unit, providing exceptional care to our residents, and ensuring that our high standards of quality and patient satisfaction are met.
Responsibilities:<ul><li>
Supervise and administer direct nursing care when more than routine care is indicated</li><li>
Evaluate all residents with COC to assure residents' needs are being met</li><li>
Provide support and education to staff, residents, and families</li><li>
Make rounds twice each shift to assure proper care and a safe, clean resident environment</li><li>
Meet with all new admissions to assure core needs are being met</li><li>
Assure accuracy and completeness of medical records</li><li>
Review resident records for all new admissions to assure complete per facility policies and procedures</li><li>
Review all event reports for completion</li><li>
Assist with admissions, resident care plans, and resident assessments</li></ul>
Requirements:<ul><li>
Current, valid Registered Nurse licensure to practice in the State of California</li><li>
Current BCLS certification</li><li>
RN graduate from an accredited School of Nursing with a minimum of an Associates Degree</li><li>
At least six months prior RN experience in the past two years in a general acute care hospital setting, or acquired equivalent competency appropriate to the type of sub-acute residents that the facility provides care to</li><li>
Ability to read, analyze, and interpret common scientific and technical information, and to be easily understood through verbal communication in the English language</li><li>
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals</li></ul>
Working Environment:<ul><li>
Full-time position, Monday-Friday, 7:00AM-3:30PM</li><li>
Collaborates with all levels of unit nursing personnel and administrative and financial staff, physicians, consultants to the facility</li></ul>
What We Offer:<ul><li>
Competitive salary range of $50 - $55 per hour</li><li>
Opportunities for professional growth and development</li></ul>
If you are a motivated and compassionate RN Supervisor looking for a new challenge, please apply today!</div>

RN Supervisor

Karns & Karns, LLP

PLAINTIFF'S PERSONAL INJURY law firm is looking for a full-time, EXPERIENCED PRE-LITIGATION CASE MANAGER who can handle all aspects of personal injury claims. PERFORMANCE BONUSES, 401K MATCHING, HEALTH INSURANCE, ANNUAL BONUSES, POLICY LIMITS BONUSES, TREATMENT BONUSES, PARKING/METRO PASSES are all included. No remote work is allowed.Job Type: Full-timePay: $25.00 - $35.00 per hourBenefits:<ul><li>401(k) matching</li><li>Flexible schedule</li><li>Free parking</li><li>Health insurance</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Retirement plan</li></ul>Experience:<ul><li>Personal injury law: 2 years (Required)</li></ul>Ability to Commute:<ul><li>Los Angeles, CA 90012 (Required)</li></ul>Ability to Relocate:<ul><li>Los Angeles, CA 90012: Relocate before starting work (Required)</li></ul>Work Location: In person

Personal Injury Case Manager 2 Years or more

Keck Medicine of USC

<div>The Patient Care Technician (PCT) provides nursing staff support in the areas of patient care delivery, clerical functions, and organization of the unit environment, as well as set-up and maintenance of equipment. The emphasis on each of these areas will depend on the unit assigned
Essential Duties:<ul><li>
Patient Satisfaction: &bull; Responds to patient call within 10 minutes. &bull; Anticipates pts needs &bull; Proactively makes rounds to reduce patient calls &bull; Maintains positive behaviors toward patients and visitors &bull; Smiles and is pleasant during all interactions &bull; Provides RN with necessary data related to patient assessment. &bull; Contributes input into the patient&rsquo;s plan of care and accurately implements interventions on the patient&rsquo;s plan of care, in collaboration with the RN.</li><li>
Performs essential skills which contribute to positive patient outcomes per routing, MD orders, and RN direction &bull; Vitals &bull; Daily weight &bull; I &amp; O &bull; Hygiene: bath, peri-care, oral care, HS care, hair care &bull; Maintains clear and organized patient rooms &bull; Assist with meals/feeding &bull; Ambulation/mobility; turn bed patients every 2 hours, transfers from bed to chair &bull; Provides fresh water at beginning and end of shift and prn &bull; Appropriately prioritizes patient needs</li><li>
Safety: &bull; Ensures safe physical environment and ensures safe operation of patient-care equipment &bull; Call light/telephone with reach &bull; Floors clear of fall hazards &bull; Maintains uncluttered and easy access to bathroom, ambulation, and emergency equipment. &bull; Commodes &bull; Walkers &bull; Shower chairs &bull; IV poles &bull; Beds &bull; Tables/Chairs</li><li>
Documentation &bull; Documents all care provided, including vital signs, intake and output, meal percentages, equipment used, and patient care.</li><li>
Communication: &bull; Makes presence known before entering a room or private area &bull; Identifies/introduces self to patient and visitors &bull; Explains plan of care to the patient &bull; Does not engage in inappropriate discussions regarding other patients and unit operations &bull; Knows and utilizes all computerized systems to send messages, document care, and communicate patient/unit needs to various departments. &bull; Knows and follows line of communication within the department. &bull; Reports to RN/Charge Nurse pertinent information/significant change in patient condition/patient and family concerns and patient refusal of care in a timely manner. &bull; Reports to RN/Charge Nurse patient&rsquo;s inability to perform self-care and describes actions taken which were ineffective. &bull; Actively collaborates with the RN at the beginning and throughout the shift regarding patient care and data collection.</li><li>
Regulatory agency i.e.: &bull; Ensures that the unit is in continuous survey readiness &bull; No food/drink in nurses station &bull; No open containers in patient pantry &bull; No outside food in patient refrigerator &bull; No boxes etc. or floor &bull; Staff refrigerator kept clean &bull; Linens covered at all times &bull; Keep fire door closed &bull; Maintain clean/tidy nurses station, locker room, pantry</li><li>
Maintain patient confidentiality</li><li>
Ensures confidentiality of patient records and other written information</li><li>
Performs other related duties as assigned.</li></ul>
Required Qualifications:<ul><li>
Req High school or equivalent</li><li>
Req Specialized/technical training Graduate from an accredited Certified Nursing Program. (*Grandfathered from CNA Certification requirement, if hired/transferred prior to 8/2016.)</li><li>
Req Ability to communicate effectively in English both verbally and in writing.</li></ul> 
Preferred Qualifications:<ul><li>
Pref 1 year Experience in a health care setting</li></ul> 
Required Licenses/Certifications:
<ul><li>Req Certified Nursing Assistant (CA DPH) *Grandfathered from CNA Certification requirement, if hired/transferred prior to 8/2016.</li><li>
Req Basic Life Support (BLS) Healthcare Provider from American Heart Association</li><li>
Req Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)</li></ul> 

The hourly rate range for this position is $22.00 - $37.40. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate&rsquo;s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
<div>Job ID REQ20172703 Posted Date 03/03/2026</div></div>

Patient Care Assistant - ICU Float Pool - Full Time 12 Hour Days (Non-Exempt) (Union)

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