Senior Care Case Manager – Hybrid Clinic & Home Visits

TEEMA Group; San Jose (CA); Hybrid; USD 69.000 - 76.000; Vollzeit

Zusammenfassung

TEEMA Group seeks a dedicated RN Case Manager in San Jose, CA to own care outcomes for an elderly patient panel. You will work with PCPs and an interdisciplinary team to assess, plan, and implement care across clinic, virtual, and home settings.

You will educate patients, coordinate care across settings, and ensure timely follow-ups while maintaining compliant EHR documentation. Hybrid work model offered with field visits.

Qualifikationen

• Education: Graduate of an accredited School of Nursing.
• Licensure: Active, unencumbered RN license.
• Certification: BLS certification active.

Aufgaben

• Take ownership of quality care and clinical outcomes for an assigned patient panel.
• Conduct clinical assessments in clinic, virtual, or home settings.
• Develop and update Plans of Care with the team and POA representatives.
• Educate patients and networks on managing conditions across care settings.
• Coordinate complex patient care to prevent unnecessary hospitalizations.
• Facilitate transitions between care settings including hospice when needed.
• Communicate changes in care level and status to the team promptly.
• Capture assessments and actions in the EHR with accuracy.

Kenntnisse

Active RN License

BLS Certification

Geriatric care

Clinical assessment

Communication

Organization

Self-direction

Cultural competency

Spanish language (nice-to-have)

Ausbildung

Graduate of an accredited School of Nursing

Jobbeschreibung

TEEMA Group seeks a dedicated RN Case Manager in San Jose, CA to own care outcomes for an elderly patient panel. You will work with PCPs and an interdisciplinary team to assess, plan, and implement care across clinic, virtual, and home settings.

You will educate patients, coordinate care across settings, and ensure timely follow-ups while maintaining compliant EHR documentation. Hybrid work model offered with field visits.