Senior Case Manager RN - Transplant RN (Remote)
Core
Providing comprehensive case management services to members with complex health needs, ensuring quality, cost-effective care delivery, and promoting optimal health outcomes.
Role type
Senior Case Manager RN (Transplant focus)
Builds
Individualized care plans and coordinated service delivery for members
Domain
Health insurance / Utilization management / Clinical case management
Required skills
Clinical assessment, care planning, care coordination, cost containment, advocacy, mentorship, healthcare systems knowledge
Preferred skills
Transplant clinical experience, culture competency, CBT/DBT training
Technologies
Electronic health records, case management software, Microsoft suite
Responsibilities
Manage caseload of members with complex health needs; Conduct comprehensive assessments and develop complex care plans; Monitor member progress and adjust care plans; Evaluate effectiveness of interventions; Provide guidance and mentorship to lower-level Case Managers; Serve as a resource for clinical expertise
Seniority
Senior, hands-on IC with mentorship duties