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
Senior Registered Nurse Care Manager
Builds
Personalized care plans and service plans for members and their families
Domain
Healthcare / Care Management / Social Determinants of Health
Required skills
Registered Nurse (RN) licensure, care plan development, resource coordination, barrier identification, provider collaboration, member education, regulatory compliance
Preferred skills
Residency in Bergen or Passaic County, experience with social determinants of health
Technologies
Telephonic outreach, digital tools, home visit protocols
Responsibilities
Evaluate member needs and barriers to care, develop ongoing care plans, coordinate between members and providers, monitor member status and revise plans, provide resource support for services like housing and employment, facilitate access to needed care, document activities for compliance, educate members on disease processes and benefits
Seniority
Mid-level, hands-on IC