Job Summary
The RN Case Manager is responsible for conducting telephonic health assessments, addressing patient concerns through triage, and delivering educational support to enhance treatment choices. This role involves coordinating various services, identifying and managing gaps in care, and aiding members in understanding their benefits and choosing healthcare providers.
Responsibilities
- Conduct telephonic health assessments for patients.
- Triage and respond to patient inquiries and concerns.
- Provide health education to guide treatment decisions.
- Coordinate necessary services and manage care discrepancies.
- Assist members in navigating healthcare benefits and selecting physicians.
Qualifications
- Current, unrestricted RN license.
- A minimum of 3 years of clinical nursing experience.
- Proficient in Microsoft Office applications.
- Excellent telephonic communication skills.
