Care Manager, Telephonic Nurse
Core
Conducts telephonic assessments to identify clinical, behavioral, social, and environmental needs; develops individualized care plans; and coordinates care with providers and community resources to optimize member wellness.
Role type
Senior IC care manager (telephonic nurse)
Builds
Individualized care plans and care coordination pathways
Domain
Healthcare / Managed Care
Required skills
Registered Nurse (RN) licensure, acute care clinical experience, care plan development, chronic condition management education, community resource coordination, telephonic communication, documentation compliance
Preferred skills
BSN, telephonic case management experience, Medicare/Medicaid population experience, behavioral health management awareness, Certified Case Manager (CCM)
Technologies
Microsoft Office (Word, Excel, Outlook)
Responsibilities
Conduct telephonic assessments to identify member needs; Identify and resolve barriers to care adherence; Develop and update individualized care plans; Monitor member progress toward desired outcomes; Provide education for chronic condition management; Coordinate care and facilitate access to providers and community resources; Maintain accurate documentation per compliance guidelines
Seniority
Mid-Senior level, independent judgment with minimal direction
