Care Manager RN
Core
Develops, assesses, and facilitates complex care management activities for members with physical needs to provide high-quality, cost-effective healthcare outcomes including personalized care plans and education.
Role type
Senior IC care manager RN
Builds
Personalized care plans and service plans for Medicaid/Medicare members
Domain
Healthcare / Managed Care / Chronic Disease Management
Required skills
Clinical experience with chronic conditions, case management, time management, care plan development, resource coordination, telephonic outreach, regulatory compliance documentation
Preferred skills
Managed care experience, knowledge of social determinants of health, collaboration with providers and specialists
Technologies
Telephonic platforms, digital outreach tools, care management software
Responsibilities
Evaluate member needs and barriers to care; develop ongoing care plans; coordinate between members, families, and providers; monitor member status and update care plans; provide resource support for services like housing and employment; educate members on disease processes and benefits; document care management activities for compliance.
Seniority
Mid-level, hands-on IC