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
Care Manager (Registered Nurse)
Builds
Personalized care plans and service plans for members and their families
Domain
Healthcare / Care Management
Required skills
Registered Nurse licensure, care plan development, care coordination, resource identification, member education, regulatory compliance, data documentation, telephonic outreach, condition monitoring, stakeholder collaboration
Preferred skills
Pediatric experience, local travel availability
Technologies
Telephonic, digital platforms
Responsibilities
Evaluate member needs and barriers to accessing care; Develop ongoing care plans and collaborate with providers to address unmet needs; Identify problems/barriers to care and provide appropriate interventions; Coordinate between members, families, and care provider teams; Provide ongoing follow-up and monitoring of member status and progress; Provide resource support for services like employment, housing, and independent living; Facilitate timely access to needed care or services; Collect, document, and maintain member information for regulatory compliance; Provide education to members and families on disease processes and care options; Provide feedback to leadership on opportunities to improve care delivery.