Complex Nurse Case Manager- Field- Must reside in Jefferson County, KY
Core
Coordinates case management activities to evaluate medical and psychosocial needs, facilitating member wellness and care transitions.
Role type
Senior RN Case Manager (Field-based)
Builds
Member care plans and care transitions for complex health cases
Domain
Healthcare / Behavioral Health / Social Services
Deliverable
client delivery
Required skills
Clinical assessment, care planning, regulatory compliance, motivational interviewing, crisis intervention, trauma-informed care, knowledge of foster care and juvenile justice systems
Preferred skills
Integrated case management model experience, BSN, bilingualism
Technologies
MS Office Suite, internal/external computer systems
Responsibilities
Conduct comprehensive clinical evaluations of member needs and eligibility, create and monitor member care plans, review prior claims for impact on eligibility, consult with care partners and supervisors, present cases at multidisciplinary conferences, coach junior colleagues
Seniority
Senior, hands-on IC