RN Health Plan Care Manager — Care Coordination Leader

Adventist Health; Rancho Cordova (CA); In loco; USD 90.000 - 120.000; Tempo pieno

Descrizione del lavoro

Adventist Health is seeking a qualified Nurse for care management leadership in California. The role focuses on developing and evaluating care management services, promoting continuity of care and cost effectiveness across inpatient and outpatient settings.

Responsibilities include collaborating with physicians, claims, and analytics to enhance outcomes, optimize resource use, and drive quality improvements while ensuring compliance with medical necessity criteria.

Competenze

• BSN preferred; RN licensure required.
• Experience in nursing care management or equivalent setting is desirable.

Mansioni

• Develops, implements and evaluates care management programs.
• Promotes continuity of care and cost effectiveness through whole-person in-patient and out-patient management.
• Collaborates with physicians, clinical staff and analytics to improve quality and performance.

Conoscenze

Care coordination

Quality improvement

Interdisciplinary collaboration

Formazione

BSN (Bachelor's in Nursing)

Descrizione del lavoro

Adventist Health is seeking a qualified Nurse for care management leadership in California. The role focuses on developing and evaluating care management services, promoting continuity of care and cost effectiveness across inpatient and outpatient settings.

Responsibilities include collaborating with physicians, claims, and analytics to enhance outcomes, optimize resource use, and drive quality improvements while ensuring compliance with medical necessity criteria.