Care Manager RN

Oversee patient care, using guidelines to establish benefits and resolve service necessity issues. Various roles will be adopted to encourage optimal outcomes. Manage care efficiently to reduce unnecessary usage. Essential functions include producing, implementing, documenting, and updating care plans in collaboration with the entire healthcare team; formulating patient care management plans and setting treatment and self-management goals; evaluating healthcare, educational, and psychosocial requirements of patients and their families; helping patients stay healthy by educating, visiting, and communicating via phone; studying, establishing, and recommending resources to fulfill medical and non-medical needs; collaborating with all programs to ensure proper coordination of services; proactively identifying issues and suggesting solutions for care coordination; communicating and linking with hospital, long-term care, and home health representatives.