Care Manager, Registered Nurse- Remote

Lensa; Jackson (MS); Remote; USD 85,000; Full time

Job summary

A leading healthcare company is seeking a Care Manager to support their Value Based Care Management program. The role involves telephonic case management, developing care plans, and collaborating with healthcare providers to improve member health outcomes. Candidates should have strong communication skills and experience in case management. The position offers a competitive salary and comprehensive benefits.

Qualifications

• 3-5 years of clinical and telephonic case management experience preferred.
• Current multi-state RN licensure; BSN preferred.

Responsibilities

• Engage telephonically with members to develop care plans.
• Coordinate patient education and facilitate referrals.
• Maintain documentation standards and meet productivity metrics.

Skills

Motivational Interviewing

Case Management

Communication

Problem Solving

Education

BSN

Tools

EMRs

Microsoft Office

Job description

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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 experience, leading to improved health outcomes. Responsibilities include advocating for members, utilizing motivational interviewing, and supporting complex case management throughout the care plan.

Essential Job Functions

• Engage telephonically with members, caregivers, and providers to develop care plans, identify key interventions, and address members' needs across the care continuum.
• Collaborate with healthcare providers to meet health goals through care plan development and implementation.
• Assess ongoing care needs, monitor progress, and revise care plans as needed to address changes in health status and care transitions.
• 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, assessing efficacy and interactions.
• Facilitate transitions of care and follow-up post-discharge.
• Maintain documentation standards, recording member progress and barriers.
• Abide by program guidelines and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities.
• Remain current with clinical knowledge through self-directed learning.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, and proficient problem solver.
• Effective communicator with excellent customer service skills.
• Resilient and adaptable in a fast-paced environment.
• Experience engaging members and creating concise medical records.
• Proficient in data analysis and quality improvement processes.
• Experience with care plan documentation and working within organizational structures.

Qualifications

• Current multi-state RN licensure; BSN preferred.
• Training in motivational interviewing preferred.
• 3-5 years of clinical and telephonic case management experience preferred.
• Computer competencies including EMRs, Microsoft Office, and other communication tools.
• Home office setup satisfying HIPAA and internet requirements.
• Effective communication skills with members and healthcare team.
• Ability to interpret scientific and technical information and present effectively.

Note: The incumbent must disclose any debarments or exclusions affecting eligibility for federal healthcare programs.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants are considered without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status, or other protected status.