RN Case Manager (Nex)
Core
Coordinate longitudinal care for patients with complex medical, social, and psychological needs; serve as the primary liaison between patients, medical providers, and the insurance/benefit system to promote optimal outcomes and prevent readmissions.
Role type
Registered Nurse Case Manager
Builds
Patient care plans and discharge strategies
Domain
Healthcare / Managed Care
Deliverable
client delivery
Required skills
Specialty nursing, case management, care coordination, utilization review, discharge planning, quality assurance, clinical pathways, knowledge of state/federal/commercial insurance plans
Preferred skills
Experience in NICU, PICU, CICU, or Cardiology
Technologies
None stated
Responsibilities
Coordinate longitudinal patient care, act as liaison between patients and providers, advocate for patient health goals, prevent hospital readmissions, ensure effective resource utilization
Seniority
Mid-level, hands-on IC