Care Manager RN
Core
Facilitates communication among patients, families, and multidisciplinary teams to resolve barriers to care delivery and ensure continuity across diagnosis, treatment, and follow-up.
Role type
Senior Registered Nurse Care Manager
Builds
Continuity of care plans and coordinated transitions between hospital, post-acute, and community settings
Domain
Healthcare / Care Management
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse licensure, patient activation strategies, care coordination, regulatory compliance, data interpretation, age-specific care assessment, SMART goal development, Epic EMR proficiency
Preferred skills
Applicable care management certification, 1-2 years care management experience
Technologies
Epic EMR, Microsoft Suite
Responsibilities
Facilitate communications among patient/family, multidisciplinary team, and community resources to resolve care barriers; Collaborate with inter-professional teams to provide quality, cost-effective healthcare services; Use evidence-based approaches to increase patient and family engagement in care; Identify barriers to learning and optimal care delivery; Independently manage caseload and ensure timely documentation; Coordinate patient information and referrals to ensure smooth transitions of care; Assess patient status relative to age-specific needs and provide appropriate care.
Seniority
Mid-Senior level, hands-on IC