Nurse case manager Jobs in Modesto ca

About Heritage Health Network (HHN) :

Heritage Health Network is a dynamic healthcare organization providing Enhanced Care Management (ECM) to a diverse population with a focus on culturally competent care. We offer comprehensive communitybased and personcentered services meeting our members wherever they are in their healthcare journey.

Position Overview :

We are seeking a dedicated and experienced Case Manager to join our ECM team. The ideal candidate will be responsible for coordinating all aspects of ECM for our members operating as part of a multidisciplinary care team. This role is pivotal in ensuring seamless and effective care management and service delivery.

Requirements

Key Responsibilities :

• Act as the primary point of contact for members coordinating and managing their care plans.
• Collaborate with other care managers and healthcare providers to ensure comprehensive care.
• Develop implement and regularly review care plans to meet the specific needs of each member.
• Provide guidance and support to the ECM care team fostering a collaborative approach.
• Engage with members and their families providing education and support for better health outcomes.

Qualifications :

Benefits

What We Offer :

Key Responsibilities : Community Liaison : Serve as a key connection between HHN and the community, enhancing access to healthcare services and resources. Outreach and Engagement : Conduct proactive outreach activities to raise health education and awareness within the community. Healthcare Navigation : Assist members in navigating the healthcare system, ensuring they understand their care plans and steps needed for recovery and well-being. Emotional and Social Support : Provide crucial emotional and social support to clients and their families, especially in hospital or home settings post-amputation. Gap Identification and Solutions : Collaborate with the ECM team to identify gaps in care and develop solutions to address these gaps. Resource Facilitation : Facilitate connections to community resources, including social, educational, and financial assistance programs. Caseload Management : Manage a caseload of 60-75 members, meeting them in the community or at their place of preference. Documentation : Accurately document the dates, time, and nature of services provided to members, integrating this information into the member s medical record. Plan of Care Participation : Participate in the development of care plans in collaboration with the member s care team and licensed providers. Qualifications : Lived Experience : Must have lived experience that aligns with and provides a connection to the members served. This can include experiences related to incarceration, military service, pregnancy and birth, disability, foster system placement, homelessness, mental health conditions, substance use, or being a survivor of domestic violence or exploitation. Cultural Competence : Shared race, ethnicity, sexual orientation, gender identity, language, or cultural background with the community served is highly valued. Passion for Service : Demonstrated passion for community service and healthcare, particularly focusing on vulnerable populations. Communication Skills : Exceptional communication and interpersonal skills, capable of engaging effectively with diverse groups. Organizational Skills : Strong organizational abilities, with the capacity to work independently and as part of a multidisciplinary team. Community Knowledge : In-depth knowledge of local community health needs, resources, and cultural nuances. Experience : Previous experience in community health work, social work, or a related field is preferred but not required. Bilingual Skills : Bilingual abilities are highly valued to better serve our diverse community. Mobility : Must be willing and able to travel within Riverside and San Bernardino counties for home visits and community engagement activities.