Care Manager, Registered Nurse- Remote

Lensa; Little Rock (AR); Remote; USD 85,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to enhance member experiences through effective telephonic case management. This role involves collaborating with healthcare providers and members to develop and implement comprehensive care plans aimed at improving health outcomes. The ideal candidate will possess strong motivational interviewing skills and a commitment to quality care, ensuring that every interaction leads to positive results. Join a dynamic team that values resilience and adaptability in a fast-paced environment, where your contributions will directly impact the well-being of members and their families.

Qualifications

• 3-5 years of clinical experience with telephonic case management preferred.
• Training in motivational interviewing preferred.

Responsibilities

• Engage with members to develop comprehensive care plans and address needs.
• Coordinate patient education and facilitate referrals to resources.

Skills

Motivational interviewing

Case management

Communication skills

Data analysis

Multitasking

Problem-solving

Education

Current multi-state compact RN license

BSN preferred

Tools

Electronic medical records

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 effective care plans and positive member experiences leading to improved health outcomes. The role involves 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 members' needs across the care continuum.
• Collaborate with PCPs, specialists, and other clinicians to meet healthcare goals through care plan development and implementation.
• Assess ongoing care needs and progress, revising care plans as necessary based on changes in condition, goals, or care settings.
• Coordinate patient education using appropriate modalities.
• Identify and facilitate referrals to relevant benefit and community resources, considering Social determinants of Health.
• Assist with coordination of tests, imaging, and specialist consultations.
• Perform medication reconciliation regularly, assessing efficacy and interactions.
• Facilitate transitions of care, ensuring smooth movement between providers and post-discharge follow-up.
• Maintain documentation standards, recording progress, barriers, and outcomes.
• Follow program guidelines and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities and learning.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, capable of multitasking and problem-solving.
• Excellent communication and customer service skills.
• Ability to work effectively in a fast-paced environment with changing priorities.
• Engaging with members effectively, demonstrating resilience and adaptability.
• Proficiency in data analysis, medical record review, and quality improvement processes.
• 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 of clinical experience with telephonic case management preferred.
• Proficiency with electronic medical records and Microsoft Office tools.
• Home office that meets HIPAA and internet requirements.
• Effective communication skills with members and healthcare providers.

Note: The incumbent must disclose any debarment or exclusion events affecting eligibility for federal health care programs.

Sharecare and subsidiaries are Equal Opportunity Employers, considering applicants without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, veteran status, or other protected characteristics.