San Francisco Health Plan
San Francisco, CA, USA
Reporting to the Clinical Supervisor, Care Management, the Care Management Nurse provides clinical assessment, nursing interventions, and coordinated care planning for SFHP members with complex and chronic health needs in multiple programs. Working in close partnership with Care Management Community Coordinators (CMCCs), the nurse evaluates medical risks and conducts nursing assessments. The nurse also delivers chronic-condition evaluation, reconciles medications, and supports members in navigating care across multiple settings.
You will operate within established care-management workflows. It requires strong clinical judgement. It also demands the ability to manage a high-volume caseload. Additionally, it necessitates consistent communication with several team members. These team members include members, caregivers, CMCC colleagues, physicians, hospitals, and community partners. The nurse is an important contributor to interdisciplinary case reviews and collaborates with...
