RN Case Manager

Clinical Care Management:

• Conducting comprehensive clinical, psychosocial, and functional assessments to identify patient needs, risks, and goals.
• Developing, implementing, and maintaining individualized, evidence‑based care plans in collaboration with patients, families, PCPs, and the interdisciplinary care team.
• Providing clinical interventions and nursing support aligned with care plan goals, protocols, and accreditation standards.

Care Coordination & Advocacy:

• Coordinating care across providers, settings, and services to ensure continuity, safety, and quality.
• Partnering with patient navigators and non‑clinical team members to address social determinants of health, including access to transportation, food, housing, and community resources.
• Serving as a clinical advocate, assisting patients in accessing services requiring nursing licensure, clinical expertise, or care management oversight.

Patient & Family Engagement:

• Building meaningful, trusting relationships with patients and families through empathetic, culturally responsive communication.
• Providing education on conditions, treatment options, self‑management strategies, and navigation of the healthcare system.
• Empowering patients to make informed decisions and achieve greater health autonomy.