Case Manager, Registered Nurse (Remote)
Core
Coordinate and facilitate comprehensive care for individuals by assessing needs, developing personalized care plans, and coordinating services across healthcare providers to promote positive outcomes.
Role type
Registered Nurse Case Manager
Builds
Member-centric, team-delivered, community-based care management model
Domain
Healthcare / Case Management / Chronic Disease Management
Required skills
RN licensure, care plan development, stakeholder coordination, telephonic/in-person interaction, medical terminology, regulatory compliance, documentation, benefit eligibility assessment
Preferred skills
National case management certification (CRC, CDMS, CRRN, COHN, CCM), bilingual Spanish, analytical problem-solving
Technologies
Microsoft Office 365, EHR portals, VPN, Teams, Outlook
Responsibilities
Assess and analyze medical/vocational status of members; develop plans of care; coordinate consultant referrals and home care visits; communicate with providers, employers, and insurance carriers; monitor progress toward desired outcomes; prepare required documentation; provide educational and prevention information.
Seniority
Mid-level, hands-on IC