Registered Nurse Case Manager - Field in Northern Virginia
Core
Field-based Registered Nurse Case Manager coordinating patient-centered care, conducting assessments, and developing care plans for members in Northern Virginia.
Role type
Senior IC Registered Nurse Case Manager
Builds
Coordinated care plans and seamless member experiences across providers and community resources
Domain
Healthcare / Managed Care / Behavioral Health
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical nursing expertise, care coordination, risk identification, claims history review, regulatory compliance, holistic care approach
Preferred skills
Managed care organization experience, discharge planning, transition of care, bilingual English/Spanish
Technologies
Multiple clinical systems and documentation platforms
Responsibilities
Conduct comprehensive telephonic and face-to-face assessments of medical, behavioral, and social needs; Develop and implement personalized care plans; Coordinate care across providers and community resources; Identify risks and gaps in care using clinical expertise and data; Facilitate referrals to appropriate clinical and community resources; Review claims history and benefit eligibility to inform care planning
Seniority
Mid-level, hands-on IC