RN Telephonic Care Manager

Job Summary

To support the Medical Management department, the full-time RN Telephonic Care Manager will coordinate care and provide health education for adult Health Plan members through telephonic collaboration, primarily working remotely during standard daylight hours.

Key responsibilities:

• Conduct comprehensive assessments of members' medical, behavioral, and social needs, and develop individualized care plans
• Engage members to close gaps in preventive care and facilitate scheduling of necessary screenings or tests
• Document all care management activities and identify trends for improvement based on member interactions

Required qualifications:

• Minimum of 2 years of experience in a clinical setting and case management nursing
• BSN preferred
• Registered Nurse (RN) licensure required
• Case management certification or approved clinical certification preferred
• Ability to work in a designated private workspace and meet internet connectivity requirements