RN, Case Manager

RN Care Manager

The RN Care Manager manages a panel of clinically complex members to support impactable clinical programs, quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to create a care plan and oversees progress to the plan, frequently reassessing needs while moving members toward clinical program and pathway graduation. The RNCM coordinates closely with both the integrated Cityblock Care Team as well as external providers and community partners.

Key Responsibilities

• Receives members from the engagement and central teams, clearly communicating program expectations, including duration and goals.
• Completes self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs. Refers members to behavioral health programs as needed.
• Conducts in-person clinical exami...