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 address health care and social determinant needs.
Role type
Registered Nurse Case Manager
Builds
Personalized care plans and coordinated service delivery for members
Domain
Healthcare / Case Management
Required skills
RN licensure, care plan development, stakeholder liaison, telephonic/in-person interaction, medical terminology, regulatory compliance, documentation, multidisciplinary collaboration, condition management, benefit eligibility assessment
Preferred skills
National case management certification (CRC, CDMS, CRRN, COHN, CCM), analytical problem-solving, bilingual Spanish
Technologies
Microsoft Office 365, EHR portals, VPN, Teams, Outlook, Word, Excel, PowerPoint
Responsibilities
Assess and analyze medical/vocational status of members; develop plans of care; coordinate home care visits and community resources; communicate with providers, employers, and insurance carriers; prepare case work documentation; monitor progress toward wellness outcomes; provide educational and prevention information.
Seniority
Mid-level, hands-on IC