RN Case Manager

At DAP Health we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider we deliver compassionate high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health wellness programs and beyond with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate innovative organization dedicated to making a meaningful impact in the lives of those we serve. If youre looking for a dynamic and purpose-driven environment we invite you to explore the opportunity to contribute to our mission.

Job Summary
The RN Case Manager serves as an advocate and care coordinator for at-risk patients including thosebeing discharged from the hospital managing chronic disease non-compliance newly diagnosed withchronic disease or cancer frail elderly or frequent emergency room utilizers. The RN Case Manager isresponsible for conducting an in-depth assessment of a clients needs and providing appropriate
interventions to improve outcomes ensure access to care reduce re-hospitalization and offer supportsystems for the management of the condition.
Supervisory Responsibilities: None
Essential Duties/Responsibilities

• Conduct a thorough needs assessment based on the risk factor or diagnosis provided at the timeof referral - this may include a medical history functional abilities and social componentsincluding family support systems ability to function independently ability to obtain medicationand understand the prescription language skills and medical insurance status
• Arrange and coordinate various services based on the needs of the patient - these may includepublic or private programs not-for-profit organizations transportation in home supportservices medical insurance patient and family education home health medication use andothers
• Assist with paperwork necessary to obtain services
• Maintain adequate knowledge of resources available and conduct additional research whenindicated or necessary to resolve complex cases
• Act as an advocate between agencies and clients to ensure timely interventions and develop acollaborative relationship to maximize the patients and familys ability to make informeddecisions
• Demonstrate the knowledge base necessary regarding resources and health care services toappropriately assist the client and communicate effectively with the medical team
• Demonstrate ability to manage the case through the continuum of care towards providingtimely interventions and an appropriate outcome
• Provide adequate care coordination effectively communicate the interventions and progresswith the health care team and conduct timely follow-up assessments
• Maintain appropriate documentation including but not limited to client information diagnosisand medical history communication with service providers details of the referrals issued plansgoals and outcomes
• Make recommendations for changes in the direction of projects based on informed andacquired knowledge of trends and community changes
• Conduct or participate in community meetings as deemed appropriate for the currentassignments or potential opportunities of development
• Integrate support functions effectively with the clinic services and operations
• Assist with opening new opportunities for funding or program growth by staying informed andestablishing a network of community resources
• Participate in organizational performance improvement projects related to current activities andannual MA Clinical Skills Competency Training events
• Provide patient and clinic support on a case-by-case basis to surrounding clinics
• Offer patient and clinic support as part of the call center RN Triage coverage and assist withspecial projects requiring RN expertise as needed
• Develop and monitor departmental and program/project operating budgets costs andschedules
• Supervise lead coach and use best management practices to improve staff performance
• Support and model the identified vision values and behaviors of the organization
• Work with staff to develop systems to ensure consistent high-quality projectmanagement
• Other duties as assigned

Safety

• Ensure compliance with policies and procedures related to safe work practices
• Use appropriate equipment and/or tools to ensure workplace safety
• Immediately report unsafe working conditions

Privacy/Compliance

• Maintain privacy and security of all patients employee and volunteer information and access tosuch information
• Comply with all regulations regarding corporate integrity and security obligations
• Report unethical fraudulent or unlawful behavior or activity
• Uphold strict ethical standards

Required Skills/Abilities

• Demonstrate excellent oral and written communication skills
• Proficient in thoroughly documenting conversations and actions related to case management
• Exhibit effective interpersonal skills
• Ability to work effectively in collaboration with diverse groups of people
• Proficient in performing mathematical calculations organizing and prioritizing workload
• Ability to work effectively and efficiently under stress
• Capable of handling difficult situations with professionalism
• Shows integrity positive attitude mission driven attitude and is self-directed with ademonstrated passion for DAP Healths mission and commitment to working collaborativelywith the executive team
• Basic business intuition and common sense
• Strong work ethic
• Skilled in supervising multitasking and following instructions
• Proficient in reading writing speaking and understanding English
• Bilingual in Spanish and English is preferred

Education and Experience

• RN Degree
• At least 2 years work experience in Case Management or related field
• Strong technical knowledge of management principles and practices

Working Conditions/Physical Requirements

• Capable of lifting and moving up to 40 pounds moving between locations and standing forextended periods
• Hybrid schedule: 3 days in clinic and 2 working remotely