Registered Nurse Case Manager – Care Management

Role: Registered Nurse Case Manager responsible for coordinating comprehensive care for health plan members. Key Responsibilities Conduct clinical assessments and develop individualized care plans.Support safe transitions between inpatient, outpatient, and home settings.Collaborate with physicians, pharmacists, and interdisciplinary teams to close care gaps.Reduce avoidable hospitalizations and improve quality metrics.Educate patients and caregivers, advocate for necessary services.Utilize data and clinical guidelines to deliver accessible, high-quality care. Qualifications & Skills Registered Nurse licensure.Strong clinical assessment and care planning abilities.Excellent collaboration and communication skills.Knowledge of care transitions and healthcare quality improvement.Patient advocacy and education experience.Ability to interpret data and apply clinical guidelines.