Managed Care Coordinator-RN Clinician
Core
Manage members' cases and develop care plans to optimize healthcare across the continuum, supervising non-RN clinicians and coordinating services for physical, behavioral, and social needs.
Role type
Senior IC Managed Care Coordinator (RN)
Builds
Individualized care plans and coordinated service utilization for members with chronic illnesses and disabilities
Domain
Healthcare / Managed Care
Required skills
RN licensure, chronic illness management, care plan development, non-RN clinician supervision, telephonic/face-to-face assessment, utilization management
Preferred skills
HIV experience, Spanish/English or Creole/English bilingualism
Technologies
EHR systems, telehealth platforms
Responsibilities
Perform clinical assessments for identification and management of member needs; identify high-risk complications and coordinate care; manage members with chronic illnesses and disabilities; develop and revise individual care plans; supervise and direct non-RN clinicians; facilitate authorizations and referrals within benefits structure.
Seniority
Mid-level, hands-on IC