Care Manager, Registered Nurse- Remote

Lensa; Washington (District of Columbia); Remote; USD 85,000; Full time

Job summary

An established industry player is seeking a dedicated Care Manager to enhance the Value-Based Care Management program. In this role, you will engage telephonically with members and healthcare providers to develop comprehensive care plans. Your expertise in motivational interviewing and case management will be crucial in advocating for members and ensuring their health goals are met. This position offers a competitive salary and a comprehensive benefits package, making it an excellent opportunity for those passionate about improving health outcomes in a dynamic environment.

Qualifications

• 3-5 years of clinical and telephonic case management experience preferred.
• Current multi-state licensed Registered Nurse, BSN preferred.

Responsibilities

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

Skills

Motivational Interviewing

Case Management

Communication Skills

Problem-Solving

Organizational Skills

Education

Registered Nurse License

BSN (Bachelor of Science in Nursing)

Tools

Electronic Medical Records

Microsoft Office

Job description

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

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 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

• Engage telephonically with members, caregivers, and providers to develop care plans, identify interventions, and address member needs across the care continuum.
• Collaborate with healthcare providers to meet health goals through development and implementation of care plans.
• Assess ongoing care needs and progress, revising plans as needed to address changes in health status or preferences.
• Coordinate patient education and facilitate referrals based on social determinants of health.
• Assist in coordination of tests, imaging, and specialist consultations.
• Perform medication reconciliation regularly and assess for efficacy and interactions.
• Manage transitions of care and follow-up post-discharge.
• Maintain documentation standards and record member progress and barriers.
• Adhere to the Value-Based Care Management Program guidelines and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities and ongoing learning.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, multi-tasking, problem-solving abilities.
• Excellent communication and customer service skills.
• Resilience and adaptability in a fast-paced environment.
• Experience engaging members and managing data for reporting.
• Experience with care plan documentation and working within organizational structures.

Qualifications

• Current multi-state licensed Registered Nurse, BSN preferred.
• Training in motivational interviewing preferred.
• 3-5 years clinical and telephonic case management experience preferred.
• Proficiency with electronic medical records, Microsoft Office, and communication technologies.
• Home office must meet HIPAA and internet requirements.
• Effective communication skills with members and healthcare professionals.

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

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