Care Manager (RN)
Core
Develops, assesses, and facilitates complex care management activities for physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education.
Role type
Care Manager (RN)
Builds
Personalized care plans and service plans for members and their families
Domain
Healthcare / Care Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care plan development, resource coordination, care gap resolution, member education, regulatory compliance, telephonic outreach, data documentation, stakeholder collaboration
Preferred skills
Maternal and infant population experience, behavioral health crisis support, Washington state residency, local resource knowledge
Responsibilities
Evaluate member needs and barriers to care, develop ongoing care plans, identify and address problems/barriers to care, coordinate between members and care provider teams, monitor member status and update care plans, provide resource support for services like housing and employment, facilitate timely access to care, conduct outreach to assess needs, document care management activities, provide education on disease processes and benefits
Seniority
Mid-level, hands-on IC