Care Manager (RN)
Core
Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
Role type
Care Manager (RN)
Builds
Personalized care plans and service delivery for members
Domain
Healthcare / Case Management
Deliverable
client delivery
Required skills
Care coordination, Needs assessment, Resource identification, Care plan development, Provider collaboration, Compliance documentation
Preferred skills
Telephonic communication, Digital outreach, In-home visit execution
Technologies
Telephonic systems, Digital outreach platforms
Responsibilities
Evaluate member needs and barriers to accessing appropriate care; Develop ongoing care plans and collaborate with providers to identify specialists and community resources; Coordinate between members, families, and care provider teams; Provide ongoing follow-up and monitoring of member status and progress towards care plan goals; Provide resource support for services such as employment, housing, and independent living; Facilitate timely access to needed care or services; Collect, document, and maintain member information to ensure regulatory compliance; Provide education to members and families on disease processes and healthcare benefits.
Seniority
Mid-level, hands-on IC