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
Senior IC care manager (nursing)
Builds
Personalized care plans and service plans for members in Hudson and Essex counties
Domain
Healthcare / Medicaid / Managed Care
Required skills
Care plan development, care coordination, resource identification, member education, data documentation, regulatory compliance, needs assessment, provider collaboration
Preferred skills
Time management, computer skills, organizational skills
Technologies
Electronic health records, telephonic tools, digital outreach platforms
Responsibilities
Evaluates member needs and barriers to accessing care; Develops ongoing care plans and collaborates with providers to identify resources; Identifies problems/barriers to care and provides appropriate interventions; Coordinates between members, families, and care provider teams; Provides ongoing follow up and monitoring of member status; Provides resource support for services like employment, housing, and independent living; Facilitates care management and ensures timely access to needed care; Collects, documents, and maintains member information for regulatory compliance; Provides education to members and families on disease processes and care options.
Seniority
Mid-level, hands-on IC