Performs utilization and case management for Health Plan members. Responsibilities include utilization management and review of pre-authorization requests and inpatient admissions to determine the appropriateness of the identified services.
The registered nurse/case manager assesses patients and their needs. They manage the patient's case and make appropriate suggestions regarding pain and symptom management in order to ensure comfort and quality of life. The registered nurse/case manager educates and supports patients and families regarding expectations during the end-of-life process and is responsible for the overall coordination of patient's care.
As a RN Case Manager, your ability to manage client care with specific knowledge and experience in bedside care, symptom management, crisis intervention and family intervention are feature assets for this high-profile nursing position.
Develop a coaching relationship with members and assists them through the process of actively working towards better health by identifying personal goals, providing support, encouragement and education.