The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs.
Requirements
- Conduct comprehensive assessments to evaluate members' needs and address SDoH challenges
- Develop and implement individualized care plans, monitor member progress, advocate for necessary services, and collaborate with the interdisciplinary care team to ensure optimal health outcomes
- Provide evidence-based disease management education and support to help the member achieve health goals
- Ensure the appropriate members of the interdisciplinary care team are involved in the member's care
- Provide care coordination to support a seamless health care experience for the member
- Meticulous documentation of care management activity in the member's electronic health record
- Collaborate with other participants of the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member's stable health condition
- Identifies and connects members with health plan benefits and community resources
- Meets regulatory requirements within specified timelines
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
