Case Manager RN - Work From Home - Boston, Massachusetts
Core
RN Case Manager who assesses, plans, implements, and coordinates case management activities to evaluate medical needs and facilitate overall wellness for members.
Role type
Senior IC Registered Nurse (Case Management)
Builds
Member wellness outcomes and care coordination plans
Domain
Healthcare / Insurance / Case Management
Deliverable
client delivery
Required skills
Clinical judgment, case management processes, interviewing skills, acute care clinical experience, regulatory compliance
Preferred skills
Certified Case Manager (CCM) certification, Microsoft Office proficiency, telephonic communication, multi-monitor navigation
Technologies
Microsoft Office (PowerPoint, Excel, Word), clinical tools, claims data systems
Responsibilities
Collaboratively develop proactive courses of action to enhance member wellness outcomes; Evaluate member needs and available benefits using clinical tools and data review; Apply clinical judgment to reduce risk factors and address complex health issues; Utilize case management processes in compliance with regulatory policies; Conduct interviews to discern health status and needs.
Seniority
Mid-level, hands-on IC