Care Manager, Registered Nurse- Remote

Lensa; Indianapolis (IN); Remote; USD 85,000; Full time

Job summary

A leading health care provider is seeking a Care Manager to support the Value Based Care Management program. The role involves telephonic case management, advocating for members, and collaborating with healthcare providers to ensure effective care plans. Ideal candidates will have strong motivational interviewing skills and RN licensure.

Benefits

Comprehensive benefits package

Qualifications

• 3-5 years of clinical and telephonic case management experience preferred.
• Home office must meet HIPAA and internet requirements.

Responsibilities

• Engage telephonically with members to develop comprehensive care plans.
• Coordinate patient education and facilitate referrals.
• Maintain documentation standards and adhere to program guidelines.

Skills

Motivational interviewing

Case management

Effective communication

Problem-solving

Customer service

Education

BSN

Current multi-state compact RN licensure

Tools

Electronic medical records

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 a positive experience, leading 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 comprehensive care plans, identify interventions, and address needs along the care continuum.
• Collaborate with healthcare providers and members to meet health goals through care plan development and implementation.
• Assess ongoing care needs and progress, revising plans as needed to address changes, preferences, and care transitions.
• Coordinate patient education using appropriate modalities.
• Identify benefits and community resources, evaluate social determinants of health, and facilitate referrals.
• Assist with coordination of tests, imaging, and specialist consultations.
• Perform medication reconciliation and monitor medication efficacy and interactions.
• Facilitate care transitions and oversee post-discharge follow-up.
• Maintain documentation standards, recording member 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-directed learning.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, and proficient in problem-solving.
• Effective communication and customer service skills.
• Ability to work in a fast-paced environment with changing priorities.
• Experience engaging members and providing excellent customer service.
• Proficiency in data analysis and documentation of care plans.
• Experience with healthcare documentation and working within organizational structures.

Qualifications

• Current multi-state compact RN licensure; BSN preferred.
• Training in motivational interviewing preferred.
• 3-5 years of clinical and telephonic case management experience preferred.
• Computer competencies in electronic medical records, MS Office, and other communication tools.
• Home office must meet HIPAA and internet requirements.
• Effective communication skills for interacting with members and healthcare professionals.

Note: The incumbent must disclose any ineligibility to perform work on Federal health care programs. Sharecare is an Equal Opportunity Employer that values diversity and inclusion.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider