What are the responsibilities and job description for the Care Management Registered Nurse – Health Insurance position at Fairview Hospital / Cleveland Clinic?
Role: Case Manager Registered Nurse
Responsibilities
Responsibilities
- Coordinate comprehensive, patient-centered care for members across the continuum.
- Perform telephonic and virtual assessments to evaluate patient needs.
- Develop individualized care plans based on evidence-based guidelines.
- Identify and close gaps in care to improve health outcomes.
- Collaborate with healthcare professionals such as physicians, pharmacists, and social workers.
- Address social determinants of health to support holistic care.
- Assist with safe transitions of care and reduce avoidable hospitalizations.
- Registered Nurse licensure.
- Strong communication and collaboration skills.
- Ability to perform assessments and develop care plans.
- Knowledge of healthcare guidelines and social determinants of health.