Remote RN Case Manager - California

Acentra; San Bernardino (CA); A distancia; USD 67.000 - 93.000; Jornada completa

Descripción de la vacante

Acentra Health is seeking a Nurse Case Manager to join our growing team. The role will evaluate beneficiaries' needs, develop care plans, and coordinate across the healthcare team to achieve optimal outcomes while adhering to payer requirements.

Position is remote, but candidates must reside in California, preferably in the Los Angeles or San Diego area. This role supports CMSA-based case and disease management activities and requires strong communication and confidentiality skills.

Formación

• Bachelor's degree/BSN required.
• Active, unrestricted CA RN license.
• 3+ years of clinical experience.
• 1+ year of case management review experience.
• Must reside in the state of CA.

Responsabilidades

• Assess, plan, implement, monitor, and evaluate options and services to affect an appropriate, individualized plan with the beneficiary across the continuum of care.
• Coordinate care with the beneficiary, provider, and health care team to meet regulatory requirements and improve outcomes.
• Develop beneficiary-centered care plans and ensure documentation is complete and timely in the web-based database.
• Maintain confidentiality and adhere to HIPAA and company policies; pursue ongoing education and certification.

Conocimientos

Communication

Customer service

Independence

Confidentiality

Teamwork

Metrics

Educación

Bachelor's degree/BSN

CA RN license

Descripción del empleo

Acentra Health is seeking a Nurse Case Manager to join our growing team. The role will evaluate beneficiaries' needs, develop care plans, and coordinate across the healthcare team to achieve optimal outcomes while adhering to payer requirements.

Position is remote, but candidates must reside in California, preferably in the Los Angeles or San Diego area. This role supports CMSA-based case and disease management activities and requires strong communication and confidentiality skills.