Case Manager, Registered Nurse - Field - Rock Island, Mercer, Whiteside and surrounding areas
Core
A registered nurse case manager who coordinates care, assesses needs, and develops plans for members with complex health and social challenges, including dual eligibles.
Role type
Registered Nurse Case Manager
Builds
Integrated care plans and wellness strategies for Medicare/Medicaid members
Domain
Healthcare / Case Management / Social Determinants of Health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care coordination, benefit eligibility determination, plan of care development, stakeholder communication, regulatory compliance, data analysis
Preferred skills
Certified Case Manager credential, discharge planning experience, home health care coordination experience
Technologies
Microsoft Office suite, proprietary case management systems
Responsibilities
Assess and analyze medical/vocational status of members; develop plans of care to optimize wellness and return to work; coordinate case management activities including home visits and community resource utilization; communicate with members, providers, and insurance carriers; prepare documentation of case work activities; monitor member progress toward desired outcomes.
Seniority
Mid-level, hands-on IC
