RN Case Manager

The RN Case Manager is an integral member of the primary care team, tasked with leading efforts to engage patients and coordinating care for high risk and high need patients with complex health care and social needs. Working alongside the primary care provider, proactively anticipates and coordinates care services across multiple providers and care settings and provides comprehensive self-management and health education for targeted member populations with chronic disease conditions or high cost specialty care. She/he demonstrates knowledge of complex care management core competencies, disease prognosis and outcomes, and is responsible for ensuring member goals are achieved within a specified time period based upon individual needs, reasonable expectations and well-documented outcomes.