Registered Nurse - Case Manager - Care Coordination

Role Overview: The RN Case Manager supports patient-centered care coordination within a healthcare plan, aiming to improve health outcomes and optimize resource utilization. Key Responsibilities Assess, plan, implement, monitor, and evaluate care options to promote quality and efficiency.Develop individualized care plans in collaboration with patients, families, and healthcare teams.Manage utilization and practice metrics, integrating evidence-based guidelines and protocols.Monitor clinical data, laboratory results, and diagnostic tests to ensure timely interventions.Assist in designing and evaluating advanced patient-centered care models.Maintain accurate documentation of case management activities and adjust plans based on data. Qualifications & Skills Minimum two years of RN work experience; case management experience preferred.Certification as a Case Manager or ACMA preferred.BSN is preferred; knowledge of healthcare laws, regulations, insurance policies, and healthcare IT systems is helpful.Ability to work independently and collaboratively within a multidisciplinary team. Additional Details: This is a full-time, exempt role typically performed in a clinical environment, focused on delivering exceptional patient outcomes through comprehensive care coordination and utilization management.