The RN Case Manager maximizes the components of the in-patient and out-patient settings by utilizing care coordination tools, criteria and protocols to:
- Provide members with chronic and acute conditions the support, education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state.
- Increase member compliance with treatment plans.
- Engage community resources to support the member's optimal functioning.
- Improve collaborative coordination of care to affect waste and inefficiency.