SanJoseCARecruiter Since 2001
the smart solution for San Jose jobs

Nurse Care Manager - South San Francisco or Sacramento

Company: Landmark Health
Location: San Jose
Posted on: November 22, 2020

Job Description:

Do you want to make a difference in healthcare? Landmark Health was created to transform how healthcare is delivered to the most medically vulnerable members in our community. Our medical group provides home-based medical care to chronically ill patients, many of whom are frail, elderly and ill-equipped to navigate our overwhelming healthcare system. Because many of our patients are frail and elderly, we deliver care primarily in the comfort of their home. Our Program is also offered to eligible patients at no incremental financial cost to them. We are not a fee-for-service practice; we benefit economically only if we deliver high-quality patient outcomes and satisfaction. As a result, our clinical teams can spend quality-time caring for a smaller number of patients, giving all patients the space, respect, compassion and care they deserve. Our model is finding success throughout the country; we are now the nations largest risk-based, in-home medical group. At Landmark, our interdisciplinary teams collaboratively manage our complex patient panels. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care provided by RN Nurse Care Managers, Social Workers, Pharmacists, Behavioral Health and other employed team members. The Nurse Care Manager (CM) is responsible, as part of the care team, for the overall patient Care Management process. The CM provides oversight, guidance and support for the member care plan as developed through clinician, CM and allied clinical support evaluation and physical risk assessment. The CM uses nursing assessment and evaluation skills to help guide treatment and care decisions of the team and also identifies services and vendors for needed care while navigating patient benefit plans. The CM works collaboratively with a multidisciplinary team of PCP, specialists, Behavioral Health clinicians, midlevel practitioners, pharmacist, nutritionist and Social Worker and the member, family and/or caregiver as they provide supportive care to enrolled members. The CM ensures that medical services are managed in the most effective and appropriate health care setting according to the members medical condition. The CM is responsible for developing and implementing a plan of care appropriate to the members clinical condition and psycho/social needs to maximize his/her level of functioning and establishing and maintaining communications with the responsible party of the member. Responsibilities: Acts as an advocate for the member in all activities including nursing assessments, care coordination, care plan development, and communication This position is accountable for identifying and developing innovative actions to meet the needs of the member from both the health care and psychosocial / socioeconomic dimensions of care as well as taking action for provision of services to meet those needs The CM utilizes nursing assessment skills and decision making authority to make recommendation and direct member care to meet the needs of the member and support the care recommendations of the multidisciplinary care team, the member, family and caregiver Complete an initial member assessment on all new enrolled members, including a medical record review where available Documentation of current advance care directive status and ongoing efforts to reconcile member/caregiver misaligned goals with current clinical status Perform ongoing assessments commensurate with member risk level and/or identified need Development of a plan of care to establish a collaborative approach to member needs across clinicians and care delivery Initiate and maintain ongoing communications with clinicians involved in member care, especially PCP Meet with families/responsible parties for collaboration on member plan of care and discussion of member/family/responsible party contribution to the ongoing management of member condition Coordinate care across the continuum of care delivery model as the point of contact for member/caregiver and clinicians Act as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the member while promoting optimal clinical outcomes Monitor member progress to plan of care goals with emphasis on member care need during transitions and changes in member level of care needs Monitor member during admissions to both acute and skilled level of care to support member needs, establish as the point of contact to clinicians and member/responsible party/families to ensure consistent and ongoing communication between all involved parties Provide nursing/assisted living facility and provider training on program philosophy and approach to member care Main educator for members and/or families/responsible parties on disease processes and ways to manage disease progression as independently as possible Reviews medical information collected including medical records and/or performs additional assessment to facilitate medical necessity determinations regarding service requests as established with in the identified program guidelines and the state established nurse scope of practice Serve as a resource to the entire care delivery team Identification and reporting of any quality of care issues Maintain HIPAA compliance as it relates to member care Attend departmental meetings Completes other duties as assigned Qualifications: RN License, BSN preferred 2-3 years of clinical practice in a hospital, clinic, home care, or nursing home setting 1-2 years of utilization management experience a must Case management experience desired Disease management experience useful Physician office experience helpful Certificates, Licenses, Registrations: Current state RN license If you would like to view more details and apply, please visit our website: https://careers-landmarkhealth.icims.com/jobs/3572/nurse-care-manager-so.-san-fran-or-sacramento%2c-ca/job

Keywords: Landmark Health, San Jose , Nurse Care Manager - South San Francisco or Sacramento, Healthcare , San Jose, California

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


NICU Neonatal Intensive Care Travel Nurse RN
Description: Nationwide Travel Nurse Jobs - Neonatal Intensive Care RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Santa Cruz
Posted on: 12/1/2020

Travel Nurse RN OR Transplant Surgery
Description: Nationwide Travel Nurse Jobs - Transplant Surgery RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Santa Cruz
Posted on: 12/1/2020

OB Ultrasound Technician Travel
Description: Travel Obstetrics Ultrasound Technician Numerous Nationwide Travel Assignments / Jobs br br Tired of completing an application just to get informationClick the View or Apply button for HCEN's Free, (more...)
Company: HealthCare Traveler (Allied Health)
Location: Santa Cruz
Posted on: 12/1/2020


Physical Therapist Travel Assignments
Description: Nationwide Travel Locum Therapist Jobs - Physical Therapist Are you looking for a new therapist job Would you like to spend the season somewhere you've never been Hospitals, Clinics, Outpatient and (more...)
Company: HCEN Travel Solutions
Location: Santa Cruz
Posted on: 12/1/2020

Registered Nurse (RN) - Telemetry (Tele)
Description: Telemetry opening in San Ramon, California. This and other rn jobs brought to you by NursingJobCafe.com Travel Nurses - RN - Immediate and Future 13 Week Travel Contracts. Adventure Awaits Accountable (more...)
Company: Accountable Healthcare Staffing
Location: San Ramon
Posted on: 12/1/2020

Crisis Rates Telemetry - Tele Travel Nurse RN
Description: Nationwide Travel Nurse Assignments - Telemetry RN Are you looking for a new nursing job Would you like to spend the season somewhere you've never been Hospitals nationwide are looking for qualified (more...)
Company: HealthCare Travelers
Location: Santa Cruz
Posted on: 12/1/2020

Allied Health Physical Therapist
Description: A great Homecare / Home Health facility is looking for an experienced or newly graduated Physical Therapist to join their growing team for a 26 week assignment The Physical Therapist is responsible for (more...)
Company: Centra Healthcare Solutions
Location: San Ramon
Posted on: 12/1/2020

Licensed Therapist / Occupational Therapist / California / Home Health Occupational Therapist Job
Description: Prime HealthCare Staffing is currently seeking OT - Home Health for positions in San Ramon, CA. The ideal
Company: Prime HealthCare Staffing
Location: San Ramon
Posted on: 12/1/2020

Monterey Bay, CA - Oncology - Multi Specialty Group
Description: Oncology-Medical Oncology opening in Santa Cruz, California. This and other physician jobs brought to you by DocCafe.com The locum tenens Oncology opportunity in Santa Cruz, CA hellip -Location: On the (more...)
Company: Pacific Companies
Location: Santa Cruz
Posted on: 12/1/2020

Vascular Ultrasound Technician
Description: Travel Vascular Ultrasound Technician Numerous Nationwide Travel Assignments / Jobs br br Tired of completing an application just to get informationClick the View or Apply button for HCEN's Free, (more...)
Company: HealthCare Traveler (Allied Health)
Location: San Ramon
Posted on: 12/1/2020

Log In or Create An Account

Get the latest California jobs by following @recnetCA on Twitter!

San Jose RSS job feeds