Complex Care Manager RN, Full Time
Core
Registered Nurse managing complex chronic conditions (Substance Use Disorder, Serious Mental Illness, CHF, etc.) for Medicaid patients through personalized care plans and community engagement.
Role type
Senior Registered Nurse (Complex Care Manager)
Builds
Multi-disciplinary care plans and seamless transitions between inpatient, outpatient, and community settings for high-risk patients.
Domain
Healthcare / Medicaid / Chronic Disease Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical expertise in chronic conditions, patient engagement, motivational interviewing, care plan development, interdisciplinary collaboration, community resource navigation, HIPAA compliance, triage and rapid response to clinical changes
Preferred skills
BSN degree, care management experience, experience with vulnerable populations, home care or clinic experience, experience with safety-net facilities
Technologies
Electronic health records, local medical records systems
Responsibilities
Identify and recruit patients for care management, conduct comprehensive bio-psycho-social-spiritual assessments, develop and implement patient-centered care plans, collaborate with community partners and care teams, educate patients on self-management, triage and respond to clinical changes, participate in program planning and growth
Seniority
Mid-level to Senior, hands-on IC