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Using key principles of case management, the RN Specialist will research and analyze the members health needs and health care cost drivers and will work closely with an interdisciplinary care team to ensure members have an effective plan of care that leads to efficient, cost-effective outcomes. Demonstrating clinical expertise, strong critical thinking skills and a keen business sense, the RN Specialist will work closely with the member and their family to avoid unnecessary hospitalizations and emergency department utilization, optimize site of care whenever possible, and ensure evidence-based treatment is being applied. An expert case manager with managed care experience will be successful in this role.