The Care Manager provides RN-led care coordination for members across medical and behavioral health needs, helping support transitions, follow-up, and appropriate use of services. Work is primarily focused on member outreach, assessment, care planning, and ongoing case management rather than direct bedside care. The role appears to support a managed care population and involves collaboration across providers and internal care teams.
Key Responsibilities
- Conduct member assessments to identify medical, behavioral health, and social needs.
- Provide care coordination and case management for members with complex or ongoing needs.
- Coordinate transitions of care, follow-up services, and referrals to appropriate resources.
- Collaborate with physicians, behavioral health providers, and internal care management teams.
- Use documentation and tracking tools to maintain care plans and monitor member progress.
- Support appropriate utilization of services and continuity of care across settings.
Required
- Active RN licensure.
- Experience in care management, case management, or a related nursing role.
- Ability to manage member assessments, care planning, and coordination activities.