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.
Role type
Care Manager (RN)
Builds
Personalized care plans and service plans for members and their families
Domain
Healthcare / Physical health care management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse licensure, care plan development, provider coordination, social determinants of health assessment, resource facilitation, care gap resolution, regulatory compliance documentation, member education
Preferred skills
None stated
Technologies
None stated
Responsibilities
Evaluate member needs and barriers to care, develop ongoing care plans, 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, educate members on disease processes and benefits, document care management activities for compliance
Seniority
Mid-level, hands-on IC