This role supports members through care management, care coordination, and nurse-led outreach focused on improving access to services and helping patients navigate their care needs. The work appears to center on health plan members and population-based care rather than direct bedside treatment.
Key Responsibilities
- Conduct care management activities for assigned members, including outreach, assessment, and follow-up.
- Coordinate services across the care team and community resources to support member care plans.
- Use clinical judgment to identify needs, barriers, and opportunities for improved care access and continuity.
- Document member interactions, care plans, and case management activities in the appropriate systems.
- Participate in interdisciplinary collaboration to support utilization, care coordination, and member outcomes.
Required
- Registered Nurse (RN) licensure.
- Experience in care management, case management, or a related nursing support role.
Preferred
- Illinois candidates preferred.