Care Manager (RN)
Core
Develops, assesses, and facilitates complex care management activities for Medicaid members with complex health and social needs to provide high quality, cost-effective healthcare outcomes.
Role type
Senior IC Care Manager (RN)
Builds
Personalized care plans and service delivery for Medicaid members
Domain
Healthcare / Medicaid / Social Determinants of Health
Required skills
Care plan development, interdisciplinary collaboration, resource coordination, care gap resolution, regulatory compliance, data documentation
Preferred skills
Field-based travel, telephonic outreach, digital outreach
Technologies
Microsoft Excel, Outlook, Teams
Responsibilities
Evaluate member needs and barriers to care, develop ongoing care plans, coordinate between members/families and providers, monitor member status and revise care plans, provide resource support for services like housing and employment, educate members and families on disease processes and benefits, document care management activities for compliance.
Seniority
Mid-level, hands-on IC