Care Manager RN - Field- Yale New Haven, CT
Core
Coordinate comprehensive health care and social determinant needs for members with catastrophic or chronic conditions through assessment, planning, and care coordination.
Role type
Senior Registered Nurse Case Manager
Builds
Integrated care plans and community-based support services for members
Domain
Healthcare / Case Management / Chronic Disease Management
Deliverable
client delivery
Required skills
Registered Nurse licensure, case management, discharge planning, home health care coordination, care coordination, benefit eligibility assessment, clinical assessment, care plan development, stakeholder communication, regulatory compliance
Preferred skills
Multi-state RN licensing, analytical problem-solving, independent work, proficiency with corporate software systems, multi-state licensure acquisition
Technologies
MS Word, Excel, Outlook, PowerPoint, proprietary case management systems
Responsibilities
Assess and analyze medical/vocational status of injured or chronically ill members; develop plans of care to optimize wellness and return to work; coordinate case management activities including consultant referrals and home care visits; interact with members, providers, employers, and insurance carriers; prepare documentation of case work activities; monitor member progress toward desired outcomes; facilitate condition management and return to baseline function.
Seniority
Mid-Senior level, hands-on IC