RN Case Manager & Care Coordination Specialist

Mercy-Health-System-Corporation; Janesville (WI); On-site; USD 64,000 - 97,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life & Disability Insurance

FSA/HSA options

Paid time off

Job summary

Mercyhealth is seeking a registered nurse to perform case management duties within Wisconsin. You will gather information, assess needs, develop and implement a comprehensive care plan, and monitor progress to ensure optimal outcomes.

The role emphasizes NCQA/HEDIS knowledge, quality improvement, and collaboration with providers. RN licensure is required; BSN is preferred, and CCM certification is encouraged.

Qualifications

• Graduate of an accredited nursing program.
• RN licensure in state of practice.
• CCM certification or in process of obtaining certification.

Responsibilities

• Provide direct case management activities and develop comprehensive care plans.
• Assess patient needs and determine benefits/coverage based on medical policy.
• Coordinate resources and monitor progress to meet goals.
• Contribute to quality initiatives and NCQA/HEDIS compliance.

Skills

RN licensure

Case management

Quality improvement

Educator/consultation

Education

Nursing degree

BSN preferred

Job description

Mercyhealth is seeking a registered nurse to perform case management duties within Wisconsin. You will gather information, assess needs, develop and implement a comprehensive care plan, and monitor progress to ensure optimal outcomes.

The role emphasizes NCQA/HEDIS knowledge, quality improvement, and collaboration with providers. RN licensure is required; BSN is preferred, and CCM certification is encouraged.