Telephonically assess Medicare, Medicaid, and/or and Group Account members and create actionable and measurable care plans to help guide and track the members' progress toward goals
Use nursing judgment to assess and coordinate care for acute situations (APS, EMS)
Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc.
Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, such as social workers, dietitians, pharmacists, etc., employing a variety of strategies/techniques to manage appropriately and provide timely intervention

Active Registered Nurse (R.N.) license with no disciplinary action.
Hold an active Compact nursing license and reside in the state that holds your compact license.
Minimum education of an Associates degree in Nursing.
Minimum of 3 years of clinical RN experience.
Experience using clinical knowledge to manage various chronic conditions, including development and implementation of individualized care planning.
Proficient computer skills with ability to quickly learn and navigate multiple systems, utilizing dual computer monitors.
Experience with Microsoft and Excel.
Effective telephonic and virtual communication skills.
Must have a separate room with a locked door that can be used as a home-office to ensure you and your members have absolute and continuous privacy while you work.

RN Care Manager

Key skills