RN Case Manager
Core
Deliver comprehensive case management services across the continuum of care, assessing, planning, implementing, coordinating, monitoring, and evaluating care for assigned consumers to ensure quality outcomes and cost-effective treatment.
Role type
RN Case Manager
Builds
Individualized care plans and telephonic case management services
Domain
Healthcare / Utilization Review
Deliverable
client delivery
Required skills
RN licensure, care plan development, utilization review, care coordination, outcome tracking, reporting
Preferred skills
BSN, case management experience, utilization review experience
Responsibilities
Provide telephonic case management and utilization review; Develop, implement, and monitor individualized care plans; Collaborate with healthcare providers, payors, and internal teams; Serve as a liaison between consumers and benefit administrators; Track and report case outcomes including cost savings and quality improvements