✨ About The Role
- The role involves developing proactive care plans for members to enhance short and long-term outcomes and overall wellness
- Utilizing clinical tools and information/data review to evaluate member needs and benefits, incorporating strategies to reduce risk factors and barriers
- Conducting assessments considering information from various sources to address all conditions impacting functionality
- Collaborating with supervisors and key stakeholders to overcome barriers in meeting goals and objectives, presenting cases at interdisciplinary case conferences
- Utilizing case management processes in compliance with regulatory and company policies and procedures, ensuring maximum member engagement through motivational interviewing
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 navigate multiple systems effectively
- Certified Case Manager is preferred, and residing in a compact licensure state is a plus
- Bilingual in Spanish is desired, with confidence in working from home and collaborating virtually with teams