Care Manager, Registered Nurse- Remote

Lensa; Baton Rouge (LA); 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 improve member health outcomes. Ideal candidates will have strong motivational interviewing skills and a current RN license. This position offers a competitive salary and comprehensive benefits.

Qualifications

• Current multi-state RN licensure required.
• 3-5 years telephonic case management experience preferred.

Responsibilities

• Develop care plans and address members' needs.
• Coordinate patient education and referrals.
• Perform medication reconciliation and manage transitions of care.

Skills

Motivational Interviewing

Case Management

Communication

Problem Solving

Data Analysis

Education

BSN

Tools

Electronic Medical Records

Microsoft Office

Job description

Be among the first 25 applicants. 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 effective care plans and positive member experiences that lead to improved health outcomes. Responsibilities include advocating for members, using motivational interviewing techniques, and managing complex care plans throughout their duration.

Essential Job Functions

1. Engage telephonically with members, caregivers, and providers to develop care plans, identify interventions, and address members' needs across the care continuum.
2. Collaborate with healthcare providers to meet health goals through care plan development and implementation.
3. Assess ongoing care needs and progress, revising care plans as necessary to address changes in condition, goals, and care settings.
4. Coordinate patient education using appropriate modalities.
5. Identify and facilitate referrals to relevant benefit and community resources, considering Social determinants of Health.
6. Assist with coordination of tests, imaging, and specialist consultations.
7. Perform medication reconciliation regularly, assessing efficacy and interactions.
8. Manage transitions of care and ensure follow-up post-discharge.
9. Maintain documentation standards, recording progress and barriers.
10. Adhere to program guidelines and meet productivity and quality metrics.
11. Complete mandatory training and participate in team activities.
12. Stay current with clinical knowledge through self-directed learning.

Skills and Attributes

• Strong motivational interviewing and case management skills.
• Highly organized, self-directed, with problem-solving abilities.
• Excellent communication and customer service skills.
• Resilient and adaptable in a fast-paced environment.
• Proficient in data analysis and care plan documentation.
• Experience within a matrix organization preferred.

Qualifications

• Current multi-state RN licensure; BSN preferred.
• Telephonic Case Management experience (3-5 years preferred).
• Proficiency with electronic medical records and Microsoft Office tools.
• Home office must meet HIPAA and internet requirements.
• Effective communication skills with team members and healthcare providers.

Note: The incumbent must disclose any ineligibility to work on Federal health care programs. Sharecare is an Equal Opportunity Employer.