RN, Care Manager, Telephonic Nurse

The RN, Care Manager, Telephonic Nurse will assess and evaluate member needs, focusing on discharge planning to prevent rehospitalization and effectively monitor and manage chronic conditions in a telephonic environment. This role supports members by helping them access services, skills, and support for optimal health and independence. Responsibilities include strengthening care management activities, improving member well-being, reducing healthcare costs, and enhancing healthcare delivery. The nurse will assess, monitor, and evaluate members' chronic conditions, providing and documenting interventions and outcomes, and offering episodic care coordination with a focus on education and self-management techniques. Collaboration with Care Coordinators, care team members, utilization management staff, physicians, and providers is essential to arrange necessary services. The role may involve contributing to interdisciplinary care planning and meetings, ensuring contractual and regulatory compliance, and making independent decisions regarding work methods with minimal direction. Other duties as required.