- Manages a caseload as outlined by CASSIP and Care Management Leadership.
- Maintains compliance in accordance with contractual and care management requirements
- Assists in research, and implementation of disease management/population health programs to serve our highest complexity members.
- Conducts outreach and face-to-face visits at a frequency no less than determined by the enrollee’s assigned acuity level or more if needed, with each enrollee/caregiver in their homes, physician’s offices, or other mutually agreed upon locations.
- Assesses enrollees on enrollment and at intervals no less than determined by the enrollee’s acuity level to identify needs/barriers and close gaps in care.
- Identifies over/under utilization promptly, and takes appropriate action according to organizational policy.
- Gathers physical and mental/behavioral health, environmental, psychosocial, and educational information; the CM develops, implements, and updates an accurate, individualized comprehensive care plan for each assigned enrollee in collaboration with the PCP and/or other multi-disciplinary team members, including public agencies.
RN Case Manager in washington at Unknown Company
This position is listed as contract and onsite.