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Day – 08 Hour (United States of America)
Health Plan Care Manager (RN), Population Health – Remote Opportunity!
Full-Time, Monday-Friday
This is a Stanford Health Care job.
A Brief Overview
The Care Managers are responsible for the risk stratification of at-risk patient populations, acute and skilled nursing facility concurrent review and complex and episodic case management, including the care plan development and ongoing intervention strategies. This position acts as a resource, providing feedback on appropriate complex case management referrals and working collaboratively with all disciplines to manage the complex patients. As a key member of the Stanford Health Plan Clinical Operations team, supporting Stanford Health Care Alliance and Stanford Healthcare Advantage health plans, and facilitates seamless, coordinated care and safe and timely transitions in care for high risk members, this role works closely with members, caregivers, providers, facility staff, and health plan representatives to conduct member assessments, coordinate care, proactively identify and address barriers to effective transitions in care, and provide complex case management, telephonically and in person in member homes, provider offices or facility settings. S/he will conduct concurrent review and issue appropriate member/provider correspondence.
Locations
Stanford Health Care
What you will do
Education Qualifications
Experience Qualifications
Required Knowledge, Skills and Abilities
Licenses and Certifications
These principles apply to ALL employees:
SHC Commitment to Providing an Exceptional Patient & Family Experience
Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford’s patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.
You will do this by executing against our three experience pillars, from the patient and family’s perspective:
#LI-BS1
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.
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