RN Care Manager - Ambulatory Care Management, Hybrid-Remote

University of California - Los Angeles Health; Los Angeles (CA); Remote; USD 129,000 - 167,000; Full time

Job summary

An established industry player is seeking an RN Care Manager who will act as a clinician, advocate, and educator. This role focuses on managing care and resources to achieve optimal clinical outcomes while reducing unnecessary utilization. The ideal candidate will develop personalized care plans, identify health barriers, and implement effective interventions. With a strong emphasis on problem-solving and adaptability, this position offers a unique opportunity to make a significant impact on patient care and outcomes. If you are passionate about improving patient transitions and care management, this role is perfect for you.

Qualifications

• 5 years of Case Management experience required.
• Current unrestricted California RN license is mandatory.
• Strong problem-solving and organizational skills needed.

Responsibilities

• Develop person-centered care goals and manage care resources.
• Identify barriers to health and implement individualized care plans.
• Engage in problem-solving processes and adapt to change effectively.

Skills

Problem-solving skills

Organizational skills

Time management

Interpersonal communication

Computer proficiency

Education

BSN Degree

MSN Degree

Tools

Care-Connect/EPIC

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

MS Teams

Zoom

Right-Fax

AIDIN

JABRA Headset

Job description

Description

As an RN Care Manager, you will function as a clinician, advocate, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization. The RN Care Manager utilizes clinical expertise and understanding of care management, CMS and NCQA regulatory requirements, quality measures of care, and provides safe and appropriate patient transitions across different levels of care. The RN Care Manager develops person-centered care goals, identifies barriers to health, and implements interventions to meet patient goals through development of an individualized care plan with emphasis on promoting patient self-management and family responsibility.

The RN Care Manager identifies and ranks the relative importance and urgency of potential problems and plans contingencies. Accepts ownership of problems and willingly engages in the problem-solving process, both individually and as a group. They maintain a positive attitude when dealing with adversity and challenging situations and adapt to change effectively.

Salary range: $129,018 - $166,852/Annual

Qualifications

Required:

• Current unrestricted California RN license.
• BSN Degree.
• 5 years of Case Management experience.
• Strong problem-solving skills; ability to analyze problems and formulate plans, solutions, and a course of action given changing circumstances.
• Excellent organizational and time management skills, including the ability to handle multiple conflicting priorities simultaneously. Strong ability to prioritize.
• Proficiency in computer skills such as Windows, computer navigation, and ability to use computerized patient care systems.
• Competence in navigating the internet/intranet and use of browser software such as Microsoft Explorer and applications such as Excel, Word, PowerPoint, MS Teams, Care-Connect/EPIC, Zoom, ICAP, Right-Fax, AIDIN, and JABRA Headset.
• Excellent interpersonal, verbal, and written communication skills. Ability to articulate clinical and non-clinical information to individuals of all levels of understanding.
• Flexibility and availability to coordinate care with office personnel, patients, and resources.

Preferred:

• MSN degree.
• CCM or ACM certification.