RN Care Manager
4 weeks ago
Join our team of dedicated healthcare professionals at Care N Care Insurance Company of North Carolina as a Care Manager - RN - Case Management Professional. In this role, you will be responsible for managing high-risk, chronic illness members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes.
Key Responsibilities:- Collaborate with providers and practice staff to identify appropriate members for care management, utilizing established Care Management criteria.
- Perform initial and periodic holistic assessments for identified care managed populations, prioritizing members according to intensity, need, and required follow-up.
- Formulate and implement care management plans that address member needs, issues, resources, and care goals, determining choices available to individual members and educating patients/families on available choices.
- Evaluate the effectiveness of care plans in meeting established care goals, revising plans as needed to reflect changing needs, issues, and goals.
- Collaborate with healthcare teams to revise care management plans when changes occur, initiating/participating in care conferences to discuss multidisciplinary team responsibilities, member progress, new problems, etc.
- Associate Degree in Nursing
- Five years of nursing-related care experience and/or home care experience combined
- Registered Nurse licensed in North Carolina or a Compact state
- Current NC RN licensure in good standing
- Valid NC driver's license
- Annual Flu Vaccine
We offer a comprehensive benefits package, including medical, dental, and vision coverage, 401(k) retirement plan with company match, paid time off, and ongoing professional development and training opportunities.
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