Case Manager, Registered Nurse
Core
Coordinate comprehensive care for injured, acute, or chronically ill members by assessing needs, developing personalized care plans, and facilitating condition management to optimize wellness and medical outcomes.
Role type
Registered Nurse Case Manager
Builds
Personalized care plans and coordinated service delivery across the continuum of care
Domain
Healthcare / Case Management
Required skills
Clinical assessment, care plan development, resource coordination, telephonic/in-person communication, regulatory compliance, documentation, multidisciplinary collaboration, medical terminology, digital literacy
Preferred skills
National case management certification (CRC, CDMS, CRRN, COHN, CCM), bilingual Spanish, advanced analytical problem-solving
Technologies
Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint), EHR portals, VPN, secure communication tools
Responsibilities
Assess and analyze medical/vocational status of members; develop and implement plans of care; coordinate with providers, employers, and community organizations; monitor progress toward desired outcomes; prepare required documentation; provide educational and prevention information; apply laws and regulations for rehabilitation services.
Seniority
Mid-level, hands-on IC