✨ About The Role
- The Care Manager role involves assessing, planning, implementing, and coordinating all case management activities with members to evaluate their medical needs and facilitate overall wellness
- Develops proactive care plans to address identified issues and enhance short and long-term outcomes for members
- Utilizes clinical tools and information/data review to evaluate member needs and benefits, incorporating strategies to reduce risk factors and barriers
- Collaborates with supervisors, key stakeholders, and interdisciplinary team members to overcome barriers in meeting goals and objectives
- Conducts assessments considering information from various sources to address all conditions impacting functionality, utilizing case management processes in compliance with regulatory and company policies
âš¡ Requirements
- Experienced RN with a minimum of 3 years of clinical practical experience and 2 years of care management, discharge planning, or home health care coordination experience
- Proficient in using standard corporate software applications and special proprietary applications, with excellent analytical and problem-solving skills
- Strong communication, organizational, and interpersonal skills, with the ability to work independently and collaboratively
- Comfortable working from home, being an independent thinker, and effectively using tools to collaborate and connect with teams virtually
- Bilingual in Spanish is desired, with the ability to navigate multiple systems and keyboard efficiently