Registered Nurse Case Manager - Field in Northern Virginia
Core
Field-based Registered Nurse Case Manager coordinating care, conducting assessments, and developing personalized care plans for members in Northern Virginia.
Role type
Senior IC Registered Nurse Case Manager
Builds
Coordinated, patient-centered care plans and seamless member experiences
Domain
Healthcare / Managed Care
Required skills
Clinical nursing expertise, care coordination, risk identification, claims history review, regulatory compliance, interviewing skills
Preferred skills
Case management experience, discharge planning, bilingual (English/Spanish)
Technologies
Multiple clinical systems and documentation platforms
Responsibilities
Conduct comprehensive telephonic and face-to-face assessments, develop personalized care plans, coordinate care across providers, identify risks and gaps in care, facilitate referrals to community resources, participate in case conferences, review claims history and benefit eligibility
Seniority
Mid-level, hands-on IC