Care Manager, Telephonic Registered Nurse
Core
Telephonic Registered Nurse serving as a Care Manager to advocate for Medicare members with transitional care needs and complex chronic conditions, helping them remain independent at home.
Role type
Senior IC telephonic care manager (registered nurse)
Builds
Individualized care plans and coordinated care interventions for adult members
Domain
US Healthcare / Medicare / Chronic Disease Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, critical thinking, independent decision-making, care coordination, care planning, resource connection, clinical judgment, telephonic communication
Preferred skills
Managed care experience, Certified Case Manager (CCM), Bilingual (English/Spanish)
Technologies
Microsoft Office (Word, Excel, Outlook), auto-dialer systems
Responsibilities
Assess physical, environmental, behavioral, and psychosocial health needs; develop and monitor individualized care plans; connect members with healthcare and social resources; coordinate care with interdisciplinary teams; evaluate risk factors to prevent hospitalizations; identify and address barriers to care
Seniority
Mid-Senior level, hands-on IC