This role focuses on care management for Medicaid members, supporting clinical needs across a population with complex and ongoing health needs. The nurse works remotely to coordinate care, assess needs, and help members access appropriate services and resources.
Key Responsibilities
- Conduct care management activities for assigned members, including assessment, planning, and follow-up
- Coordinate services and resources to support care needs and help members navigate the healthcare system
- Collaborate with interdisciplinary teams, providers, and community partners to support member care plans
- Use clinical judgment to identify needs, barriers, and opportunities to improve outcomes
- Document care management activities and member interactions in the appropriate systems
Required
- Active registered nurse (RN) license
- Experience in care management, case management, or a related clinical setting
- Ability to work with Medicaid or similarly complex patient populations
Benefits & Perks
- Remote work arrangement