Complex Case Manager III

Responsibilities: Provide member-centric, evidence-based care for high-needs members to navigate the healthcare system and ensure safe transitions. Coordinate services across various settings and connect members with community resources to reduce the burden of illness.

Requirements: Requires an Associate's or Bachelor's degree in Nursing, a current RN license, and at least 5 years of clinical or acute care experience. Certified Case Manager (CCM) certification is preferred or must be obtained within two years.

Key skills: Case Management, Clinical Assessment, Care Coordination, Patient Advocacy, Chronic Condition Management, Analytical Decision-Making, Customer Service, Resource Negotiation, Interdisciplinary Communication, Crisis Management

Keywords: RN License, Certified Case Manager, CCM, Acute Care, Social Determinants Of Health, ADLs, IADLs, Healthcare Continuum, Evidence-Based Care, Telephonic Case Management, Patient Navigation, Nonprofit Health Plan