Case Manager – Registered Nurse

Role Overview

• Coordinate care for members facing multiple chronic medical and behavioral health conditions
• Conduct comprehensive assessments to evaluate members’ needs
• Develop and implement individualized care plans
• Monitor member progress and advocate for necessary services
• Provide evidence-based disease management education and support
• Collaborate with the interdisciplinary care team
• Ensure accurate documentation of assessments and interventions
• Participate in team meetings to discuss member status and care strategies

Requirements

• Active and unrestricted Registered Nurse (RN) licensure in the state of Pennsylvania (PA) OR Compact Registered Nurse (RN) licensure in state of residence
• Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams
• 3+ years of nursing experience
• 2+ years of case management, discharge planning and/or home healthcare coordination experience
• Experience providing care management for Medicare and/or Medicaid members (preferred)
• Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health (preferred)
• Experience conducting health-related assessments and facilitating the care planning process (preferred)
• Bilingual skills, especially English-Spanish (preferred)

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings
• Tobacco cessation and weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access
• Other benefits depending on eligibility