Care Manager RN - Foster Care

Job Description

Superior HealthPlan is seeking a Care Manager RN for Foster Care to perform care management duties, assess member's health status, and coordinate medical and supporting services to promote quality, cost-effective care. This position involves education, coordination of services between healthcare providers and non-medical staff, case management, and participation in integrated team care management rounds.

Responsibilities

• Assess member's health status, resource utilization, treatment plan, and services.
• Develop a plan of care based on assessment with specific objectives and interventions.
• Coordinate services between Primary Care Physician, specialists, medical providers, and non-medical staff.
• Provide patient and provider education.
• Facilitate member access to community-based services.
• Monitor referrals and report related risk management quality concerns.
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
• Direct care to participating network providers.
• Participate in case management committees and special projects.

Requirements

• Graduate from an Accredited School of Nursing.
• Bachelor’s degree in Nursing preferred.
• 2+ years of clinical nursing experience and 1+ years of case management experience in a managed care setting.
• Current state’s RN license.

Benefits

• Competitive salary based on experience: $66,100.00 - $118,900.00 per year.
• Flexible work solutions including remote options and hybrid work schedules.
• Paid time off including holidays.
• Health insurance coverage for you and your dependents.
• 401(k) and stock purchase plans.
• Tuition reimbursement and best-in-class training and development.