Senior Care Manager (RN)
Core
Assesses, plans, and implements complex care management activities to enable quality, cost-effective healthcare outcomes for members, including children, foster care, and juvenile justice populations.
Role type
Senior Care Manager (RN)
Builds
Personalized care plans and service plans for care members
Domain
Healthcare / Managed Care Organization (MCO)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Care plan development, provider coordination, member/family education, complex medical caseload management, assessment skills, data review for trends, telephonic/digital outreach, regulatory compliance, precepting clinical new hires
Preferred skills
Experience with children, foster care, juvenile justice system, computer savviness
Technologies
None explicitly stated
Responsibilities
Develops and assesses ongoing care plans, coordinates between members and providers, monitors member status and revises plans, identifies barriers for escalated cases, reviews member data to improve performance, performs outreach to assess needs, collaborates with healthcare providers, documents member information, provides education on disease processes and benefits, partners with leadership to enhance care delivery, precepts and coaches clinical new hires
Seniority
Senior, hands-on IC with mentorship responsibilities
