[Hiring] Case Management RN @Planned Parenthood of the Pacific Southwest

Role Description

Join our team as a Case Management RN, where you'll play a key role in coordinating patient care, advocating for patient needs, and serving as a trusted resource throughout the continuum of care.

• Coordinate interdisciplinary care plans and monitor patient progress.
• Serve as a liaison between patients, healthcare providers, and insurance partners to ensure effective, patient-centered care.
• Develop and implement care management plans that connect patients with appropriate resources.
• Support compliance with medical recommendations and address ongoing healthcare needs.
• Provide professional nursing triage services and health guidance by phone.
• Offer on-call support in accordance with agency guidelines.

This is a full-time remote position; however, candidates must reside in San Diego County.

Schedule:

• Four 10-hour shifts per week (4/10s)

Available Rotations:

• Option Rotation #1
  • Week 1: Monday, Wednesday, Friday, Saturday
  • Week 2: Monday, Tuesday, Wednesday, Thursday
• Option Rotation #2
  • Week 1: Monday, Tuesday, Wednesday, Friday
  • Week 2: Tuesday, Thursday, Friday, Saturday

If you're looking for an opportunity to make a meaningful impact while enjoying the flexibility of a remote work environment, we encourage you to apply.

• Provide professional, comprehensive telephonic nursing assessment, evaluation, education, and advice to patients in accordance with agency protocols.
• Participate in health center efforts to achieve established goals related to productivity, quality metrics, and revenue cycle performance.
• Manage lab and imaging results, referrals, prescription refills, prior authorizations, and other patient follow-up activities in accordance with agency medical protocols and case management policies and procedures.
• Support timely completion of patient calls and follow-up activities while delivering high-quality, patient-centered care and maintaining operational efficiency.
• Maintain current knowledge of agency and department policies, protocols, procedures, regulatory requirements, and best practices.
• Coordinate ongoing patient care needs and collaborate with providers, clinical staff, and external partners to ensure continuity of care.
• Serve as a patient advocate by helping patients navigate healthcare resources, understand treatment plans, and access appropriate services.
• Participate in on-call responsibilities in accordance with agency guidelines.

Qualifications

• Active California RN license.
• At least one year of experience working as a Registered Nurse.
• At least one year of experience in Women's Healthcare.
• Willingness to complete orientation in both surgical and family planning settings to gain a thorough understanding of clinic operations and patient care workflows.
• Strong communication, critical thinking, patient advocacy, and independent work skills in a remote environment.
• Must reside in San Diego County.

Requirements

• $44.15 - $59.47 an hour.

Benefits

• Foster workplace equity by aligning pay and benefit structures with our Agency’s mission and values.
• Continuous evaluation of compensation efforts to ensure competitive pay.
• Open and transparent communication about compensation policies.

Company Description

We are Planned Parenthood of the Pacific Southwest, one of the largest and most prominent affiliates of the most iconic health care organization in the world. We are recognized for the wide array of services we provide and the outstanding education we deliver.

• We are a prominent and powerful team of health experts who work relentlessly to help our communities sustain their health and well-being.
• We adhere to the highest standards and protocols as we collaborate and care for people, without judgment.
• 100 years of advocating for our mission has secured our advancement, our future and our passion for practicing health care.
• We are a team you can have fun with and a powerful movement you can be part of.
• Together we’ll take pride in shaping the future of sexual health and reproductive rights.

Planned Parenthood of the Pacific Southwest is an Equal Opportunity Employer.

Please visit our careers page for more information: www.pppswcareers.org