Case Manager RN
Core
A remote Registered Nurse Case Manager who assesses health status, coordinates care, and advocates for members to optimize cost-effective health outcomes.
Role type
Senior IC Registered Nurse Case Manager
Builds
Individualized case management programs and referrals to alternative healthcare programs
Domain
Healthcare / Managed Care
Required skills
Acute care nursing experience, Clinical assessment, Care coordination, Benefit plan navigation, Independent judgment, Decision-making, Interpersonal communication, Time management, Organizational skills, Teamwork
Preferred skills
Multi-state licensure, Certified Case Manager (CCM), Managed Care experience, ICU/ER/Hospital experience, Telephonic case management
Technologies
Microsoft Office 365, Teams, Outlook, EHR portals, VPN
Responsibilities
Conduct comprehensive clinical assessments, Develop flexible approaches based on member needs, Advocate for patients within health care coverage, Identify and escalate quality of care issues, Provide coaching and education to empower members, Utilize motivational interviewing for lifestyle changes
Seniority
Mid-level, hands-on IC