Case Manager, Registered Nurse - Remote
Core
Coordinate care for catastrophic and chronically ill members across the continuum of care, including home care visits and community resource utilization.
Role type
Senior Registered Nurse Case Manager
Builds
Integrated care plans and outcomes for members with complex health and social needs
Domain
US Healthcare / Case Management
Required skills
Clinical assessment, care coordination, advocacy, regulatory compliance, documentation, telephonic/in-person communication, plan of care development
Preferred skills
Spanish language, Certified Case Manager (CCM/CRC/CDMS), National professional certification (CRRN/COHN), Bilingual communication
Technologies
Microsoft Office 365, EHR portals, VPN, proprietary case management systems
Responsibilities
Assess and analyze medical/vocational status to develop plans of care; coordinate home care visits and community resources; act as liaison with providers, employers, and insurance carriers; monitor member progress toward wellness and return-to-work goals; prepare required documentation; consult with multidisciplinary teams.
Seniority
Mid-to-Senior level, hands-on IC