Community Based Care Manager RN
Core
Coordinate care and services for members through culturally competent delivery, assessments, and person-centered care planning to improve health outcomes and address social determinants of health.
Role type
Senior IC community-based care manager (RN)
Builds
Individualized care plans and coordinated service delivery for members
Domain
Healthcare + Social Services
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse licensure, nursing degree, health equity lens, trauma-informed care, motivation interviewing, psychosocial assessment, care coordination, case management, post-discharge planning, resource navigation, clinical standards implementation
Preferred skills
Advanced clinical degree, Medicaid/Medicare managed care experience, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Conduct strength-based health and psychosocial assessments; develop and update person-centered care plans; facilitate interdisciplinary care team meetings; coordinate with providers, community agencies, and state agencies; manage barriers to care goals; educate members on treatment options and benefits; monitor member progress and satisfaction; oversee unlicensed team members; document care activities; travel for member and provider visits.
Seniority
Senior, hands-on IC
