RN Case Manager - Bilingual

    • Job Tracking ID: 2021-952
    • Job Location: Rohnert Park, CA
    • Job Level: Mid Career (2+ years)
    • Level of Education: BA/BS
    • Job Type: Full-Time/Regular
    • Date Updated: September 24, 2021
    • Years of Experience: 2 - 5 Years
    • Starting Date: ASAP
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Job Description:

Summary:  The RN Case Manager will coordinate care for high risk, complex clients to access needed health services and complementary social services. The RN Case Manager will coordinate services and community support to achieve improved health outcomes for clients.

 

Areas of Responsibility:

Patient Care

  • Work closely with patient’s care team and providers to enhance patient experience, understanding, and involvement in their health care
  • Review daily referrals; including clients admitted to hospital care in order to review client’s discharge plan, medical follow up, and psychosocial needs
  • Assist client in establishing individualized health goals, identifying potential problems/barriers; provide health education resources. Provide advocacy for client and monitor client’s progress. Coordinate logistics for health goal adherence
  • Assist in timely scheduling of primary care and other medical appointments to support client health; may attend appointments with client
  • Review changes to medication regimen and medication use
  • Clarify medical terminology and assist patient in understanding current health status and subsequent goal setting tools that will be utilized to encourage patient improvement

 

Community Support

  • Link individuals to application assistance for health coverage programs. Perform client benefit enrollment in areas where certified/approved
  • Maintain good working relationship w community health partners by working as a liaison with other agencies and the community; participate in the Task Force for the Homeless case manager coordination group
  • Coordinate with grant managers and program managers to develop Telemedicine and other innovative programs

Experience and Skills:

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.  

 

Education/Experience: 

  • Bachelor’s Degree in Nursing or related field with three (3) years’ experience that can be demonstrated to be applicable to the duties listed in the job description

 

Desired Skills:

Knowledge of:

  • Principles, procedures, methods and techniques of nursing, health care and mental health care
  • Modern practices and principles of method disease counseling  
  • A variety of community resources
  • Homeless resources and community partners that work with homeless clients
  • Basic management practices and principles
  • Principles and procedures of medical record keeping
  • Grants management and reporting
  • Universal precautions and infection control practices
  • Pertinent Federal, State and local laws, codes, and regulations regarding health care

 

Ability to: 

  • Provide administrative and nursing orientation to staff
  • Assess and evaluates patients’ responses to service provided, treatment, and medication 
  • Demonstrate leadership skills and a desire to continually enhance nursing practice and performance
  • Maintain confidentiality of patients
  • Prepare clear and concise reports
  • Respond to requests and inquiries from the general public
  • Work independently in the absence of supervision, utilizing prioritization and delegation techniques for time optimization
  • Communicate clearly and concisely, both orally and in writing
  • Apply basic time management and patient care coordination skills to effectively provide nursing services
  • Establish and maintain effective working relationships with those contacted in the course of work, including service representatives and the general public
  • Plan and organize multiple work tasks, problem-solve and analyze information toward sound decisions

 

Licenses and Certifications:  

  • Possession of an appropriate, valid California Registered Nursing License 
  • Possession of, or ability to obtain, an appropriate, valid California driver’s license 
  • Possession of, or ability to obtain, an appropriate, valid BLS certificate 
  • Candidate must be able to successfully meet PHC’s credentialing and privileging requirements

 

Language Skills:  Strong verbal and written communication skills with demonstrated ability to communicate professionally at all levels. Must speak, read, write and comprehend English. Bilingual in English and Spanish, written and verbal, preferred. 

 

Mathematical Skills:  Proficiency in math, including ability to add, subtract, multiply and divide all units of measure, using whole numbers, common fractions and decimals.

 

Reasoning Ability:  Ability to recognize problems, collect data and establish facts.  

 

Computer Skills:  Computer literate and proficient in MS Office (Outlook, Word, Excel), Electronic Medical Records and web applications. Type 60+ words per minute.

 

Physical Demands:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Movement within health center complex environment repeatedly throughout the day
  • Ability to write by hand, use phone, use computer keyboard and mouse extensively to perform general office functions
  • Manual wrist and finger dexterity and wrist-finger speed sufficient to perform repetitive actions for extended periods of time
  • Ability to effectively communicate by hearing continuously and speech in a manner which can be understood by a diverse population
  • Ability to give and follow verbal and written instructions with attention to detail and accuracy
  • Must have visual acuity near and far (20 inches to 20 feet), depth perception, field of vision, ability to focus on an object, ability to identify and distinguish colors
  • Ability to sit or stand for extended periods of time (minimum periods of one (1) hour at a time)  
  • Ability to frequently walk, bend, squat, stoop, kneel, twist, crouch, and climb with the use of a step stool
  • Ability to grasp, hold and pick up and reach with hands and arms
  • Ability to frequently lift and or move up to fifteen (15) pounds
  • Ability to occasionally lift and carry up to thirty-five (35) pounds (periodic lifting of supplies or equipment
  • Ability to coordinate multiple tasks simultaneously
  • Ability to travel to and from other health center sites and community locations