Care Manager – Registered Nurse - Work From Home (CST)
Core
Coordinate care for members with chronic medical and behavioral health conditions, addressing social determinants of health through telephonic engagement and resource connection.
Role type
Registered Nurse Care Manager
Builds
Individualized care plans and seamless healthcare experiences for members
Domain
Healthcare / Managed Care (Medicare/Medicaid)
Deliverable
client delivery
Required skills
Registered Nurse (RN) licensure, case management, discharge planning, home healthcare coordination, disease management education, care plan development, regulatory compliance, electronic health record documentation, community resource navigation
Preferred skills
Medicare/Medicaid member care experience, SDoH needs management, health assessments, English-Spanish bilingualism
Technologies
Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams), healthcare technology tools
Responsibilities
Conduct telephonic engagement with members to coordinate care; Develop individualized care plans with goals and interventions; Provide evidence-based disease management education; Ensure interdisciplinary team involvement; Document care management activities in electronic health records; Connect members with health plan benefits and community resources; Collaborate on strategies to maintain stable health conditions
Seniority
Mid-level, hands-on IC