Case Manager RN
Core
Coordinate care and advocate for members to meet health needs and benefit plans through assessment, planning, and resource facilitation.
Role type
Senior IC case manager RN (oncology focus)
Builds
Individualized case management programs and referrals to alternative healthcare services
Domain
Healthcare / Managed Care / Oncology
Deliverable
client delivery
Required skills
Clinical assessment, care coordination, advocacy, data-driven identification, motivational interviewing, health literacy assessment, program efficiency improvement, quality escalation, independent judgment
Preferred skills
Certified Case Manager (CCM), telephonic case management, managed care experience
Technologies
Microsoft Suite
Responsibilities
Conduct comprehensive clinical assessments; develop and implement case management plans; advocate for patients within coverage limits; identify and escalate quality of care issues; provide coaching and education to empower members; evaluate needs and develop flexible approaches based on member needs and benefit plans
Seniority
Mid-level, hands-on IC