Nurse Case Manager
About The Position
This job profile description is a standardized, non-contractual reference description and global reference tool provided for organizational consistency and talent architecture purposes across Cencora. It does not alter actual job duties, responsibilities, reporting lines, working conditions, grading, compensation, or other essential terms and conditions of employment. Actual duties and responsibilities may vary based on business needs, local requirements, and operational practices. Where a team member's role is governed by an employment agreement, local terms and conditions, prior job description or collective bargaining agreement, those documents shall prevail in case of any inconsistency. Mandatory local laws shall also prevail. Plans and manages complex care coordination cases and activities to support timely patient access, treatment progression, and continuity of care. Conducts assessments, supports care planning, and facilitates transitions of care that address clinical, social, and access barriers affecting patient outcomes. Coordinates with providers, pharmacies, payers, and internal partners to resolve access barriers, align next steps, and maintain case continuity. Analyzes case trends, recurring issues, and workflow patterns to identify root causes and recommend process improvements. Develops and refines job aids, care coordination templates, and documentation standards to improve consistency and reduce rework. Guides less experienced team members on complex case handling, escalation practices, and documentation expectations.
Requirements
- Bachelor's degree in nursing, social work, health sciences, public health, healthcare administration, or a related field, or equivalent experience required.
- 4+ years of experience in care management, case management, clinical support, patient services, or a related field required.
Nice To Haves
- Certification in case management, care coordination, clinical specialty, or equivalent preferred.
Responsibilities
- Plans and manages complex care coordination cases and activities to support timely patient access, treatment progression, and continuity of care.
- Conducts assessments, supports care planning, and facilitates transitions of care that address clinical, social, and access barriers affecting patient outcomes.
- Coordinates with providers, pharmacies, payers, and internal partners to resolve access barriers, align next steps, and maintain case continuity.
- Analyzes case trends, recurring issues, and workflow patterns to identify root causes and recommend process improvements.
- Develops and refines job aids, care coordination templates, and documentation standards to improve consistency and reduce rework.
- Guides less experienced team members on complex case handling, escalation practices, and documentation expectations.
Benefits
- Equal employment opportunity
- Reasonable accommodations for individuals with disabilities
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
