Responsibilities:

• Deliver coordinated, patient-centered virtual Care Management by telephone and video that improves members’ health outcomes.
• Create impactful care plans together with members and our diverse care team, and help members achieve the desired goals.
• Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system in general.
• Partner with the members’ local providers to ensure coordinated care.
• Provide compassionate, longitudinal follow-up care, building supportive relationships.
• Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated Case Management to support the member and their family.
• Coordinate necessary resources that holistically address members’ problems, whether clinical or social

Required Qualifications:

• Bachelor of Science in Nursing (BSN).
• Must reside in a compact NLC state
• Active Compact RN license in good standing with the nursing board of their state.
• Active California Nursing License
• Willingness to become licensed in multiple states
• Must have current CCM Certification
• 2+ years experience working in Pediatric setting, preference for Behavioral Health experience
• 5+ years Nursing Experience
• Be able and willing to work until 6PM PST (M-F 9-6PM PST)
• Be comfortable discussing several medical conditions
• Experience working remotely
• Spanish Speaking desirable
• Be empathetic - We work with patients and their families who are going through challenging times. You practice empathy and reassure patients that we are available to help them.
• Can work efficiently- We are a fast-growing company and we are busy. Our team will meet volume goals without sacrificing quality.
• Strictly follow security and HIPAA regulations
• Be pleasant, responsive, and willing to work with and learn from our team.
• A lot of time is spent on the phone with patients and families, and a lot of time communicating with colleagues. Therefore, the ability to gather a clinical history, answer questions at a patient level, and summarize findings is critical.
• Strong competence and ability to use multiple computer/medical record systems.
• Collaborate well across diverse teams with clinical and non-clinical members to deliver a seamless, top-quality care experience to patients.
• Understand cultural and socioeconomic issues affecting members and to coordinate all available resources to serve members.
• Excellent grammar, and efficient at writing medical information in easy-to-understand, patient-centric language.

Physical/Cognitive Requirements

• Prompt and regular attendance at assigned work location.
• Capability to remain seated in a stationary position for prolonged periods.
• Eye-hand coordination and manual dexterity to operate keyboard, computer and other office-related equipment.
• No heavy lifting is expected, though occasional exertion of about 20 lbs of force (e.g., lifting a computer \/ laptop) may be required.
• Capability to work with leadership, employees, and members in an appropriate manner.