RN Full-time

WelbeHealth PACE helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We serve the most vulnerable seniors with better quality and compassion in a value-based model.

The Case Manager, RN directly guides participant care as a crucial voice on the interdisciplinary team (IDT). Reporting to clinical leadership, the Case Manager, RN delivers and oversees all aspects of care, including conducting required PACE assessments, developing and following personalized participant care plans, and supporting transitions of care coordination.

This role is different because Case Manager, RNs at WelbeHealth:

  • Work a consistent Monday through Friday schedule – no weekends and no on call
  • Build relationships with participants rather than providing short-term care
  • Career growth opportunities

We care about our team members. That’s why we offer:

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
  • 401K savings + match
  • Comprehensive compensation package including base pay, bonus, and equity
  • And additional benefits!

On the day-to-day, you will:

  • Conduct clinic nursing assessments to determine participant needs, preferences, and goals, and actively participate in IDT meetings to develop participant care plans
  • Deliver and document nursing interventions as agreed upon in participants’ care plans, including but not limited to maintaining a safe environment, promptly responding to physician orders, and correctly administering medications
  • Collaborate with the WelbeHealth PACE Physician and other members of the IDT in coordinating participant care needs, as well as communicate with participants and their families to revise care plans
  • Instruct participants, their families, and caregivers regarding the disease process, self-care techniques, and prevention strategies

Job requirements include:

  • Graduate of an accredited school of nursing; Bachelor of Science (BSN) preferred
  • Unencumbered California RN License
  • Current Basic Life Support (BLS)/First Aide Certification required
  • Two (2) years of nursing experience in a clinical setting with a frail or elderly population preferred

We are seeking Case Manager, RNs that ideally have experience working with a frail and elderly population. If you’re ready to join a holistic care team that values both its patients and its providers, we’d love to hear from you!

Salary/Wage base range for this role is $52.52 - $69.32 hourly + Bonus + Equity. WelbeHealth offers competitive total rewards package that includes, 401k match, healthcare coverage and a broad range of other benefits. Actual pay will be adjusted based on experience and other qualifications.

Compensation
$52.52$69.32 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Prime Healthcare

Charge Nurse-Med/Surg Acute

Overview Encino Hospital Medical Center is a 150-bed state-of-the-art hospital located in Encino, California. Its multi-disciplinary staff consists of 330 physicians and 520 professional support staff. Encino Hospital Medical Center serves a diverse population and incorporates elements of urban and suburban medicine in a caring environment. It offers a wide array of inpatient and outpatient services. The hospital is consistently at the forefront in providing innovative and integrated healthcare. For more information, visit: www.encinomed.org Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Why Prime Healthcare? Encino Hospital Medical Center, a member of the Prime Healthcare Foundation, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Encino Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to: Paid Time Off 401K retirement plan Outstanding Medical Dental Vision Coverage Tuition Reimbursement Many more Voluntary Benefit Options! Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. This is a Fast-paced work environment in which you can take pride in serving an underserved community. Come Join a Team of Dedicated Healthcare Workers!!! Responsibilities The Med / Surg Charge Nurse is responsible and accountable for the quality of staff and functions during their shift. Assists the Department Director in the daily operations of the unit, directing, supervising and evaluating personnel, ensuring the proper use of time, equipment and resources. Ensures the efficient functions of the department . Performs direct patient care, only as needed, within the scope of practice. Continually assesses patient care and directs staff to make necessary changes in the plan of care. Effectively communicates with physicians and staff to ensure positive patient outcomes. Qualifications Education and Work Experience Current and valid state RN License. Current BLS (AHA) upon hire and maintain current. Current ACLS (AHA) 30 days upon of hire and maintain current. Bachelor Degree in Nursing (BSN) preferred. RN-C within 2 years of hire preferred. PALS within 30 days of hire for units that admit pediatric patients. Behavioral Violence Prevention (BVP) certificate within 6 months of hire and maintain current annually. Pay Transparency Encino Hospital Medical Center offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on collective bargaining agreement requirements and/or the employment status, i.e. full-time or part-time. The current compensation range for this role is $44.45 to $76.24. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure. Employment Status Full Time Shift Nights Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf Privacy Notice Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
Molina Healthcare

Medical Review Nurse (RN)

Job Description Job Summary Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. Job Duties Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. Identifies and reports quality of care issues. Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. Supplies criteria supporting all recommendations for denial or modification of payment decisions. Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. Provides training and support to clinical peers. Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. Job Qualifications REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). Experience working within applicable state, federal, and third-party regulations. Analytic, problem-solving, and decision-making skills. Organizational and time-management skills. Attention to detail. Critical-thinking and active listening skills. Common look proficiency. Effective verbal and written communication skills. Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $29.05 - $67.97 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN Travel ER Full-time
Aya Healthcare

Permanent Staff ER RN job in Santa Monica, CA - Make $55 to $88 per hour

$55 - $88 / HOUR
Access This Permanent Staff ER Registered Nurse Job in Santa Monica, CA. Job Details Pay: $55.00 to $88.00 per hour. (This info is approximate. To view complete pay and facility information, please log in to your Aya account or register with us now.) Shift: 3, 12-Hour 07:00 - 19:00 Join Aya for the most career options. Aya Healthcare gives you access to the most jobs — and the most exclusive opportunities — in the industry. We have strong relationships with leading facilities nationwide, and job options to support your personal and professional goals. Whether you want to put down roots with a permanent role, explore the country with a travel job or pick up per diem shifts close to home, Aya’s got you covered. Log In Today And Search jobs View pay & facility details Get real-time job notifications Register now to get started.
RN Travel PACU Full-time
Aya Healthcare

Permanent Staff PACU RN job in Santa Monica, CA - Make $55 to $88 per hour

$55 - $88 / HOUR
Access This Permanent Staff PACU Registered Nurse Job in Santa Monica, CA. Job Details Pay: $55.00 to $88.00 per hour. (This info is approximate. To view complete pay and facility information, please log in to your Aya account or register with us now.) Shift: 3, 12-Hour 07:00 - 19:00 Join Aya for the most career options. Aya Healthcare gives you access to the most jobs — and the most exclusive opportunities — in the industry. We have strong relationships with leading facilities nationwide, and job options to support your personal and professional goals. Whether you want to put down roots with a permanent role, explore the country with a travel job or pick up per diem shifts close to home, Aya’s got you covered. Log In Today And Search jobs View pay & facility details Get real-time job notifications Register now to get started.
RN Travel OR Full-time
Aya Healthcare

Permanent Staff Operating Room RN job in Santa Monica, CA - Make $55 to $88 per hour

$55 - $88 / HOUR
Access This Permanent Staff Operating Room Registered Nurse Job in Santa Monica, CA. Job Details Pay: $55.00 to $88.00 per hour. (This info is approximate. To view complete pay and facility information, please log in to your Aya account or register with us now.) Shift: 3, 12-Hour 07:00 - 19:00 Join Aya for the most career options. Aya Healthcare gives you access to the most jobs — and the most exclusive opportunities — in the industry. We have strong relationships with leading facilities nationwide, and job options to support your personal and professional goals. Whether you want to put down roots with a permanent role, explore the country with a travel job or pick up per diem shifts close to home, Aya’s got you covered. Log In Today And Search jobs View pay & facility details Get real-time job notifications Register now to get started.