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