RN Field Care Manager Nurse
Core
Assess and evaluate members' needs to achieve optimal wellness by guiding them toward appropriate care resources and facilitating interactions with support services.
Role type
Senior Registered Nurse (RN) Field Care Manager
Builds
Individual Care Plans and coordinated care strategies for Medicare/Medicaid members
Domain
Healthcare / Case Management / Community Health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse (RN) or APRN licensure, case management, medical complexity assessment, interdisciplinary care coordination, community resource navigation, electronic medical records proficiency, adult disease management
Preferred skills
BSN, in-home assessment experience, health promotion coaching, Medicaid Long Term Care experience, managed care experience, bilingual (Spanish, Arabic, or Chaldean Neo-Aramaic), Case Management certification, Motivational Interviewing certification
Technologies
Electronic medical records, Microsoft Word, Outlook, Excel
Responsibilities
Conduct in-home and telephonic assessments for members with medical complexity; develop and modify Individual Care Plans involving caregivers and primary care providers; coordinate with the Interdisciplinary Care Team and external resources; advocate for optimal member outcomes and least restrictive care settings; review and complete medical complexity attestations.
Seniority
Mid-Senior level, hands-on IC