The RN Care Manager provides comprehensive case management for members enrolled in Medicare and Medicaid managed care plans, addressing medical, social, psychological, physical, and spiritual needs. Collaborating with primary care providers, caregivers, and interdisciplinary teams, they develop, implement, and monitor personalized care plans to promote patient independence and well-being. This role requires nursing expertise, coordination skills, and familiarity with managed care environments to support high-quality, affordable healthcare services.
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Reporting to the Supervisor of care management this position will provide case management to our members including medical, social, psychological, physical and spiritual needs by Developing, implementing and monitoring the care plan, in conjunction with the PCP, caregivers and other team members, to help meet the member's needs. managed care nurse, managed care rn, nursing, rn, nurse, care management
managed care nurse, case management, registered nurse, care coordination, Medicare, Medicaid, nursing, patient care, care plan development, healthcare management