Serene Health
RN Case Manager
San Diego, CA
Sponsorship not specifiedDetected 8 days ago
Collaboration
About the role
- The RN Clinical Case Manager provides clinical assessment, care plan development, and ongoing clinical oversight within the Enhanced Care Management (ECM) program.
- The RN Clinical Case Manager serves as the clinical authority for ECM care planning, ensuring medical appropriateness, risk identification, and regulatory compliance.
- Conduct clinical assessments based on medical history, diagnoses, utilization patterns, medications, and risk indicators.
Responsibilities
- Develop, review, and clinically approve individualized ECM care plans.
- Provide RN clinical oversight and guidance to ECM Lead Care Managers executing care plans.
- Support transitions of care following emergency department visits, hospitalizations, or other significant events.
- Maintain timely, accurate, and compliant clinical documentation.
- As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation.
Nice to have
- Associate Degree in Nursing (ADN) required
Skills
- Contribute to the development and refinement of clinical workflows, tools, and best practices.
Benefits
- Empowering Wellness, Transforming Lives
- Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness.
- Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
- We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
- We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions.
- Collaborate with primary care providers, behavioral health clinicians, and internal care teams.
- Provide clinical education and consultation to ECM staff as needed.
Company info
- A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization.
Apply directly at Serene Health →Create a free account for alerts like thisView Serene Health immigration profile
This listing is sourced directly from Serene Health's careers page and normalized into a canonical job model.