Governance & Risk Lead at Chain IQ responsible for S2C and P2P service delivery excellence. Collaborating closely with internal teams to manage risks and ensure quality compliance.
About the role
- Care Manager (RN) managing healthcare outcomes through complex care management activities for members in need. Collaborating with providers and developing personalized care plans to ensure access to appropriate healthcare services.
Responsibilities
- Develops, assesses, and facilitates complex care management activities for primarily physical needs members
- Provides high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families
- Evaluates the needs of the member, barriers to accessing the appropriate care
- Recommends and/or facilitates the plan for the best outcome
- Develops ongoing care plans / service plans and collaborates with providers to address member's unmet needs
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan goals
- Provides resource support to members and care managers for local resources based on service assessment and plans
Requirements
- Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
- 2 – 4 years of related experience
- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
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