Care Manager (RN)
Core
Develops, assesses, and facilitates complex care management activities for members with primarily 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 members and their families
Domain
Healthcare / Physical needs management
Required skills
Care plan development, barrier identification, provider coordination, resource support, member education, regulatory compliance, telephonic outreach, data documentation
Preferred skills
High-risk maternity population support, Case Management experience
Technologies
Telephonic tools, digital outreach platforms, care management software
Responsibilities
Evaluate member needs and social determinants of health, develop ongoing care plans, identify barriers to care, coordinate between members and providers, monitor member status and revise care plans, provide resource support for services like housing and employment, facilitate access to needed care, document care management activities, educate members on disease processes and benefits
Seniority
Mid-level, hands-on IC