RN II - Case Management

About the role

This role involves assessing patient needs, coordinating care, and mentoring staff, ensuring high-quality, cost-effective services across the care continuum.

At a glance

What you will do

• Assess patient clinical needs against established guidelines.
• Coordinate and implement care plans for members.
• Monitor and negotiate services rendered outside the network.
• Advocate for members among various care sites.
• Document care activities comprehensively based on standards.

What they look for

• Registered Nurse with care management experience.
• Ability to assess and coordinate patient care effectively.
• Strong communication skills for multidisciplinary team interactions.
• Commitment to quality improvement and member outcomes.
• Leadership skills for mentoring and project involvement.

Nice to have

• Experience with Motivational Interviewing techniques.
• Ability to build trusting relationships with members.

Benefits

• New and inclusive work environment.
• Support for employee development and success.

A typical week

• Assess patient needs and coordinate care plans.
• Monitor and negotiate external care services.
• Advocate for members across care sites.
• Document care activities and outcomes accurately.
• Mentor new RNs and lead project activities.

First 90 days

• Understand and apply care management guidelines.
• Build relationships with members and care providers.
• Coordinate care transitions and monitor outcomes.
• Mentor new staff and participate in projects.
• Ensure accurate documentation and compliance with standards.