Care Manager, Registered Nurse- Remote

Lensa; Hartford (CT); Remote; USD 85,000; Full time

Job summary

A leading career site is assisting in the search for a Care Manager to support the Value Based Care Management program. This role involves telephonic Case Management, collaborating with members and providers to ensure effective care plans and improved health outcomes. The Care Manager will utilize motivational interviewing and coordinate patient education while maintaining high documentation standards.

Qualifications

• 3-5 years clinical experience with telephonic Case Management preferred.
• Training in motivational interviewing preferred.

Responsibilities

• Engage telephonically with members to develop care plans.
• Collaborate with PCPs and specialists to meet health goals.
• Maintain documentation standards and adhere to program guidelines.

Skills

Motivational Interviewing

Case Management

Communication

Problem Solving

Data Analysis

Education

BSN

Multi-state Compact RN License

Tools

Electronic Medical Records

Job description

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Lensa, the leading career site for job seekers at every stage of their career, is assisting our client, Sharecare, in 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 a positive experience that leads to improved health outcomes. The role involves advocating, guiding using motivational interviewing techniques, and intervening on behalf of members to ensure successful goal completion, including support through Complex Case Management and care planning.

Essential Job Functions

• Engage telephonically with members, caregivers, and providers to develop care plans, identify interventions, and address members' needs across the care continuum.
• Collaborate with PCPs, specialists, and other clinicians to meet health goals through care plan development and implementation.
• Assess ongoing care needs and progress, revising care plans as necessary to address changes in condition, goals, and care settings.
• Coordinate patient education using appropriate modalities.
• Identify community resources, evaluate Social determinants of Health, and facilitate referrals.
• Assist with coordination of tests, imaging, and specialist consultations.
• Perform medication reconciliation regularly to assess efficacy and interactions.
• Facilitate care transitions and oversee post-discharge follow-up.
• Maintain documentation standards, including progress and barriers.
• Adhere to program guidelines and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities.
• Stay current with clinical knowledge through self-learning.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, problem-solving abilities, and proficiency in multitasking.
• Excellent communication and customer service skills.
• Ability to work in a fast-paced environment with changing priorities.
• Experience engaging members and creating concise medical records.
• Data analysis and quality improvement skills.
• Experience with care plan documentation and working within organizational structures.

Qualifications

• Current multi-state compact RN license; BSN preferred.
• Training in motivational interviewing preferred.
• 3-5 years clinical experience with telephonic Case Management preferred.
• Proficiency in electronic medical records and computer applications.
• Ability to communicate effectively with members and team members.

Note: The incumbent must disclose any debarment or exclusion that affects eligibility for federal healthcare programs. Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users, considering all qualified applicants without discrimination.