Case Management Nurse I

As a Case Management Nurse I, you will utilize critical thinking to recognize signs and symptoms of potential high-risk and complex conditions that warrant different or greater levels of support. Discuss the care needs with the member through supportive, focused intervention methods and effective planning techniques. Proactively identify barriers and gaps to care while designing, creating, and managing unique, individualized care plans to ensure members/providers have good communication channels. Partner with members, families, health care providers and community resources to coordinate and facilitate the care and services needed. Actively engage members as participants in their unique care management plan and educate on their personal accountabilities and expected outcomes. You will use technology tools to document care management activities accurately and timely, complying with regulatory standards, accreditation standards and internal guidelines.