RN Complex Case Manager

Yoh delivers expertise, methodology, and momentum to keep work moving forward. From strategy to execution, we deliver bold ideas and big results through consulting, staffing, and enterprise solutions. Nearly a century after our founding, Yoh remains STEM-centered, collaborative, and committed to client success. Yoh is a proud member of the Day & Zimmermann family of companies.

Registered Nurse Complex Case Manager needed for a full-time, 6 month, remote temp contract opportunity with Yoh’s well-known client based out of Alameda, CA. * Although this is remote - you MUST have experience with CM within California.* Provide case management services for health plan members with highly complex medical and psychiatric conditions. Work closely with a team comprised of the Complex Case Manager, a Medical Social Worker, and a Health Navigator to collaborate with key departments at the health plan, including Utilization Management and Pharmacy. Externally, team will work closely with community partners to make referrals for care and resources and to best manage members across the care spectrum. The goal of the Complex Case Management program is to improve members' quality of life and assure cost-effective outcomes by utilization all available and appropriate resources.

Assessment, planning, facilitation and advocacy through collaboration with the member and other health care resources involved in the member's care Work closely with licensed and unlicensed staff to co-manage the care of complex cases telephonically through regular contact with members, caretakers, healthcare professionals and others involved in the member’s care The nurse will be responsible for triage and all aspects of the nursing process, including assessing, diagnosing, planning, implementing, and evaluating care Develop multi-disciplinary care plans with the input of the member and PCP to address identified member problems using evidence-based goals and interventions Participate in the ongoing process of identifying the health plan’s members who are most at-risk of poor health outcomes and in need of care management services Communicate with providers, members, and community resources as necessary, to support the planning, implementation and evaluation of care management programs Complete other duties and special projects as assigned