Registered Nurse Case Manager - Field in Dallas & Surrounding Areas, Texas
Core
Deliver high-quality case management services through telephonic and face-to-face engagement to help members navigate healthcare needs and achieve improved health outcomes.
Role type
Senior Registered Nurse Case Manager
Builds
Individualized care plans and coordinated care activities for health plan members
Domain
Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, care plan development, care coordination, motivational interviewing, health education, resource negotiation, regulatory documentation, precepting
Preferred skills
Managed Care Organization (MCO) experience, STAR Kids program experience, Bilingual (English/Spanish)
Technologies
None stated
Responsibilities
Conduct comprehensive telephonic and in-person assessments; Develop and implement individualized care plans; Coordinate and monitor ongoing care plan activities; Collaborate in multidisciplinary care reviews; Identify and escalate quality of care concerns; Educate and empower members to participate in healthcare decision-making
Seniority
Mid-Senior level, hands-on IC with mentorship duties