Care Manager, Registered Nurse- Remote

Lensa; Phoenix (AZ); Remote; USD 85,000; Full time

Job summary

A leading career site is seeking a Care Manager to support the implementation of a Value-Based Care Management program. The role involves telephonic case management, advocacy, and collaboration with healthcare providers to enhance member experiences and health outcomes.

Qualifications

• 3-5 years telephonic case management experience preferred.
• Home office satisfying HIPAA and internet requirements.

Responsibilities

• Engage with members, caregivers, and providers to develop care plans.
• Assess ongoing care needs and revise plans as necessary.
• Perform medication reconciliation regularly.

Skills

Motivational interviewing

Case management

Communication

Customer service

Problem-solving

Data analysis

Education

Current multi-state Registered Nurse licensure

BSN preferred

Tools

EMRs

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, leading to improved health outcomes. The role involves advocacy, motivational interviewing, complex case management, and supporting members throughout their care plans.

Essential Job Functions

• Engage telephonically with members, caregivers, and providers to develop care plans and address needs.
• Collaborate with healthcare providers to meet health goals through care plans.
• Assess ongoing care needs and revise plans as necessary.
• Coordinate patient education and facilitate referrals based on social determinants of health.
• Assist with tests, imaging, and specialist consultations.
• Perform medication reconciliation regularly.
• Manage transitions of care and ensure follow-up post-discharge.
• Maintain documentation standards and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities.

Specific Skills/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 medical documentation.

Qualifications

• Current multi-state Registered Nurse licensure; BSN preferred.
• Telephonic case management experience (3-5 years) preferred.
• Computer proficiency with EMRs and Microsoft Office.
• Home office satisfying HIPAA and internet requirements.

Note: Disclosure of any debarment or exclusion events is required. Sharecare is an Equal Opportunity Employer.