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Registered Nurse Case Coordinator
2 months ago
Work Environment: Field associates engage with patients, members, or providers primarily in-person for 4-5 days a week.
Key Responsibilities:
- Conduct clinical assessments through telephonic or face-to-face interactions to determine member needs.
- Recognize high-risk complications and facilitate care coordination.
- Oversee members dealing with chronic conditions, co-morbidities, and disabilities.
- Create personalized care plans tailored to individual member requirements.
- Collaborate effectively with members, caregivers, and the healthcare team.
- Support the execution of member care plans and manage authorization processes.
- Supervise non-RN clinicians in the coordination of services.
Desirable Skills: MA/MS in Health/Nursing, experience with older adult populations, and a background in care management and provider relations.
This role presents an excellent opportunity for a seasoned RN to contribute to a team focused on enhancing member healthcare throughout the care continuum. The ideal candidate will possess a robust history of coordinating services for individuals with chronic conditions and disabilities, demonstrating a commitment to improving patient outcomes in a collaborative setting.