Care Manager, Registered Nurse- Remote

Lensa; Austin (TX); Remote; USD 85,000; Full time

Job summary

A leading healthcare company is seeking a Care Manager to support the Value Based Care Management program. The role involves telephonic case management, developing care plans, and collaborating with healthcare providers to ensure positive health outcomes. Ideal candidates will have a multi-state RN license and experience in clinical case management.

Qualifications

• 3-5 years clinical and telephonic case management experience preferred.
• Training in motivational interviewing is a plus.
• Home office setup meeting HIPAA and internet requirements.

Responsibilities

• Engage telephonically with members to develop care plans.
• Collaborate with healthcare providers to meet health goals.
• Perform medication reconciliation and assess efficacy.

Skills

Motivational interviewing

Case management

Effective communication

Problem-solving

Education

Current multi-state RN licensure

BSN preferred

Tools

EMRs

MS Office

Job description

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Sharecare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary:

Start Date: Monday, June 16th, 2025

Salary: $85,000 annually, plus comprehensive benefits package

The Care Manager supports the implementation of the Value Based Care Management program by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes. Responsibilities include advocating for members, utilizing motivational interviewing techniques, and supporting complex case management throughout the care plan.

Essential Job Functions

• Engage telephonically with members, caregivers, and providers to develop care plans, identify interventions, and address member needs.
• Collaborate with healthcare providers to meet health goals through care plan development and implementation.
• Assess ongoing care needs and progress, revising plans as needed to address changes in condition or preferences.
• Coordinate patient education and support standards of care guidelines.
• Identify resources, evaluate social determinants of health, and facilitate referrals.
• Assist with tests, imaging, and specialist consultations.
• Perform medication reconciliation regularly and assess efficacy and interactions.
• Facilitate care transitions and ensure follow-up post-discharge.
• Maintain documentation standards, including progress and barriers.
• Follow program guidelines and meet productivity and quality metrics.
• Complete required training and participate in team activities.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, multi-tasking, problem-solving abilities.
• Effective communication and customer service skills.
• Resilience and adaptability in a fast-paced environment.
• Experience engaging members and managing data for reporting.
• Proficiency with medical documentation and organizational tools.

Qualifications

• Current multi-state RN licensure; BSN preferred.
• Training in motivational interviewing is a plus.
• 3-5 years clinical and telephonic case management experience preferred.
• Computer competencies in EMRs, MS Office, and communication technologies.
• Home office setup meeting HIPAA and internet requirements.
• Strong communication skills for interacting with members and healthcare team.

Note: The incumbent must disclose any debarment or ineligibility for federal healthcare programs. Sharecare and its subsidiaries are Equal Opportunity Employers.