RN Care Manager



Job Type
Full-Time Regular


RN Care Manager (Georgetown) (MSSP)
Location: Georgetown, TX

Job Description

The RN Care Manager serves with responsibility for assessing and coordinating patient care across the continuum utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. The RN Care Manager functions as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.

The RN Care Manager job duties include, but are not limited to:

  • Assesses plans, implements, documents, coordinates, monitors, evaluates, and updates the plan of care by collaborating with all members of the health care team to provide evidenced based care
  • Establishes patient care management plans, interventions, treatment goals, and self-management goals
  • Assesses the health care, educational, psychosocial needs of the patient/family
  • Assists patients with self-management through education, visits and telephonic engagement; encourages and supports patient adherence to their care plans
  • Researches, evaluates and recommends resources to meet medical and non-medical needs of patients and families. Collaborates, refers, and communicates across all programs to ensure appropriate coordination of services
  • Researches and takes an active role in identifying problems and possible solutions in the coordination of care to determine most appropriate setting
  • Acts as liaison to hospital, long-term care, specialists and home health representatives

The ideal candidate for the RN Care Manager will have knowledge of care management and resource/utilization management and have the ability to work collaboratively with both internal and external medical staff and external partners and organizations.

* Specialty/Department/Practice – Comprehensive Care Management

* Shift/Schedule – FT Days

* Benefits – Our competitive benefits package includes*:

* Immediate eligibility for health and welfare benefits

* 401(k) savings plan with dollar-for-dollar match up to 5%

* Tuition Reimbursement

* PTO accrual beginning Day 1

* Bachelor’s degree

* 2 years of experience

* Registered Nurse

* TX Driver’s License

Job ID 18017801 / Posted Posted 1 Month ago
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