Case Manager RN, Compact License - Remote
Core
Coordinate care for catastrophic and chronically ill members across the continuum of care, including home visits and community resource utilization.
Role type
Senior IC case manager RN
Builds
Integrated care plans and health outcomes for community care members
Domain
Healthcare / Case Management / Chronic Disease
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Case management, discharge planning, home health care coordination, care plan development, regulatory compliance, benefit eligibility assessment, telephonic and in-person client interaction, multidisciplinary team collaboration
Preferred skills
Medicare member management, chronic disease management (diabetes, CHF, CKD), hospice and palliative care, post-acute care, managed care experience
Technologies
Microsoft Word, Teams, Excel, Outlook, PowerPoint
Responsibilities
Assess and analyze medical/vocational status to develop care plans, coordinate consultant referrals and home care visits, interact with members and providers telephonically or in person, prepare case work documentation, monitor member progress toward wellness outcomes, facilitate return to work or optimal functioning, apply laws and regulations for rehabilitation services
Seniority
Mid-level, hands-on IC
