RN Case Manager

Responsibilities for Registered Nurse Case Manager

• Use clinical tools, data and other information to complete assessments of patient needs
• Create individualized and comprehensive case management and treatment plans
• Determine insurance eligibility for various treatments and treatment programs
• Clearly explain the reason for prescribed treatments and treatment plans to patients
• Educate patients on benefits, services and other resources, including payment options
• Communicate with patients, physicians and insurance companies to secure successful outcomes
• Document complex medical information to outline and improve health results
• Follow case and quality management processes in compliance with regulatory guidelines and company procedures