Care Manager (RN) - OB

About the position Responsibilities • Develop ongoing care plans / service plans and collaborate with providers to identify providers, specialists, and/or community resources to address member's unmet needs. • Identify problems/barriers to care and provide appropriate care management interventions. • Coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services. • Provide ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs. • Provide resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate. • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services. • Perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources. • Collect, document, and maintain all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators. • Provide and/or facilitate education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits. • Provide feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner. • Perform other duties as assigned. Requirements • Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing. • 2 - 4 years of related experience. • RN - Registered Nurse - State Licensure and/or Compact State Licensure required. Benefits • Competitive pay • Health insurance • 401K and stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules. Apply tot his job Apply To this Job