✨ About The Role
- The RN Case Manager will be responsible for assessing, planning, implementing, and coordinating case management activities for members.
- This position requires telephonic and/or face-to-face assessments to evaluate the medical needs of members.
- The role involves developing proactive courses of action to enhance member wellness and outcomes.
- Candidates will utilize clinical tools and data review to evaluate member needs and benefit plan eligibility.
- The RN Case Manager will apply clinical judgment to address complex health and social indicators impacting care planning.
âš¡ Requirements
- The ideal candidate will have an active, current, and unrestricted RN Licensure in their state of residence.
- A minimum of 3 years of clinical practice experience is required for this role.
- Candidates should possess strong computer skills and experience using Windows/Microsoft Office.
- Bilingual proficiency in Spanish and English is preferred, enhancing communication with diverse members.
- Experience in case management is highly valued, indicating familiarity with the responsibilities of the role.