RN Case Manager: Care Coordination & Patient Education

Sonoma County Indian Health Project; Santa Rosa (CA); On-site; USD 59,000 - 100,000; Full time

Job summary

Sonoma County Indian Health Project seeks an RN Case Manager to support providers and patients with comprehensive nursing case management. You will deliver patient-centered care coordination for chronic conditions, identify barriers to care, and empower patients in self-management within a multidisciplinary team.

Responsibilities include triage, care coordination, patient education, and collaboration on discharge planning and follow-up.

Qualifications

• Graduate of accredited nursing program.
• Active California RN license.
• 1–2 years of clinical nursing experience preferred.
• CPR certification (BLS) required.
• Experience with care coordination and EHR (EPIC preferred).
• Ability to operate EKG, lab equipment and immunization administration.

Responsibilities

• Provide full nursing services including triage, case management, care team coordination, and patient education.
• Coordinate care with Primary Care Provider and Care Team for patients with chronic illnesses.
• Provide home visits as indicated and assist with referrals and follow-up.

Skills

Nursing

Care coordination

Patient education

Team collaboration

Home visits

Education

2 Year Degree

Tools

EPIC

EKG

Job description

Sonoma County Indian Health Project seeks an RN Case Manager to support providers and patients with comprehensive nursing case management. You will deliver patient-centered care coordination for chronic conditions, identify barriers to care, and empower patients in self-management within a multidisciplinary team.

Responsibilities include triage, care coordination, patient education, and collaboration on discharge planning and follow-up.