RN Care Manager

4 weeks ago


Greensboro, North Carolina, United States Care N Care Insurance Company of North Carolina Full time
Care Manager - RN - Case Management Professional

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.
Requirements:
  • 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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