Care Manager, Registered Nurse- Remote

Lensa; Raleigh (NC); Remote; USD 85,000; Full time

Job summary

A leading company is seeking a Care Manager to support their Value Based Care Management program. This role involves telephonic case management, collaborating with members and providers to ensure effective care plans and positive health outcomes. The ideal candidate will have strong motivational interviewing skills and experience in case management. This is a full-time position with a competitive salary and comprehensive benefits package.

Qualifications

• Current multi-state RN licensure required.
• 3-5 years clinical experience preferred.

Responsibilities

• Engage with members to develop care plans and address needs.
• Coordinate patient education and facilitate referrals.
• Maintain documentation of care plans and monitor progress.

Skills

Motivational Interviewing

Case Management

Communication

Problem-Solving

Data Analysis

Education

BSN

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 members have an effective plan of care and a positive experience that leads 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

1. Engage telephonically with members, caregivers, and providers to develop comprehensive care plans, identify interventions, and address member needs across the care continuum.
2. Collaborate with healthcare providers to meet health goals through care plan development and implementation.
3. Assess ongoing care needs, monitor progress, and revise care plans as needed to address changes in health status and care transitions.
4. Coordinate patient education using appropriate modalities.
5. Identify community resources, evaluate social determinants of health, and facilitate referrals.
6. Assist with coordination of tests, imaging, and specialist consultations.
7. Perform medication reconciliation regularly to ensure efficacy and safety.
8. Facilitate care transitions and oversee post-discharge follow-up.
9. Maintain accurate documentation of care plans, progress, and barriers.
10. Adhere to program guidelines and meet productivity and quality metrics.
11. Complete mandatory training and participate in team activities.
12. 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.
• Excellent communication and customer service skills.
• Ability to work effectively in a fast-paced environment with changing priorities.
• Experience engaging members and working with diverse personalities.
• Proficiency in data analysis and medical documentation.
• 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 clinical experience, with telephonic case management preferred.
• Proficiency in electronic medical records and Microsoft Office tools.
• Home office setup meeting HIPAA and internet requirements.
• Strong communication skills and ability to interpret medical information.

Note: The incumbent must disclose any debarment or exclusion events affecting eligibility to work on Federal health care programs.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will be considered regardless of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, veteran status, or other protected status.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting