Case Manager, Registered Nurse

Role Overview

• coordinate care for members with chronic medical and behavioral health conditions
• conduct comprehensive assessments to evaluate members’ needs
• connect members with appropriate resources and support services
• develop and implement individualized care plans
• monitor member progress and advocate for necessary services
• collaborate with interdisciplinary care team for optimal health outcomes
• document assessments and interventions accurately and timely

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
• confidence working at home / independent thinker
• 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)
• bilingual skills, especially English-Spanish (preferred)

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility