Registered Nurse Case Manager - Field in Dallas Texas Service Delivery Area
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 (Field & Telephonic)
Builds
Individualized care plans and coordinated care activities for health plan members
Domain
Healthcare / Managed Care
Required skills
Clinical nursing assessment, care plan development, motivational interviewing, care coordination, regulatory documentation, precepting/mentoring
Preferred skills
Managed Care Organization (MCO) experience, STAR Kids program experience, Bilingual (English/Spanish)
Technologies
Microsoft Office 365, EHR portals, VPN, Teams, Outlook
Responsibilities
Conduct telephonic and in-person assessments, develop and implement individualized care plans, coordinate and monitor ongoing care activities, collaborate in multidisciplinary care reviews, identify and escalate quality of care concerns, educate and empower members, serve as a preceptor to new staff
Seniority
Mid-Senior level, hands-on IC with mentorship duties