Case Manager Registered Nurse - Field in Tidewater, Newport News, Hampton or Williamsburg VA
Core
Field-based Registered Nurse Case Manager coordinating care, conducting assessments, and developing personalized care plans for members in Virginia.
Role type
Senior IC Registered Nurse Case Manager
Builds
Coordinated, patient-centered care plans and seamless member experiences
Domain
Healthcare / Integrated 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, holistic care approach, regulatory compliance, interviewing skills
Preferred skills
Case management experience in integrated care models, bilingual English/Spanish, youth mental health experience
Technologies
Multiple documentation platforms and clinical systems
Responsibilities
Conduct comprehensive telephonic and face-to-face assessments, develop and implement personalized care plans, coordinate care across providers and programs, identify risks and gaps in care, facilitate referrals to clinical and community resources, participate in case conferences, review claims history and benefit eligibility
Seniority
Mid-level, hands-on IC