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The Nurse Case Manager I (Transition of Care) is responsible for performing care management within the scope of licensure for members with complex and chronic care. Responsible for those members at highest risk for a rapid readmission, thus promptly engaging them to assess and address red flags, improve the quality of care, and allow for real-time oversight. Performs duties telephonically or on-site such as at hospitals for discharge planning. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.