This role focuses on RN care management for members in a STARS-focused setting, with an emphasis on coordinating care and supporting quality-related outcomes. The work is likely centered on helping patients navigate services, follow care plans, and close care gaps through ongoing outreach and collaboration.
Key Responsibilities
- Coordinate care for assigned members across settings and services.
- Support outreach and follow-up related to care gaps and quality measures.
- Collaborate with interdisciplinary teams to align care plans and next steps.
- Document member interactions, care coordination activities, and outcomes.
- Assist members with navigation of available resources and services.
Required
- Active RN license.
- Experience in care management, case management, or a related nursing role.
Preferred
- Experience with Medicare quality or STARS-related programs.
- Experience in population health or managed care.