Care Manager (RN)

Davita Inc.; Raleigh (NC); Remote; USD 65,000 - 85,000; Full time

Job summary

A leading healthcare company seeks a Care Manager (RN) for a remote position focusing on quality care management for patients. The role involves patient outreach, collaboration across departments, and training implementation. Candidates should hold an RN license and possess essential nursing experience.

Qualifications

• Current State's RN license required.
• 2+ years in clinical nursing preferred.
• 1+ years in case management preferred.

Responsibilities

• Manage assigned worklist and provide patient outreach.
• Collaborate with departments and physician's offices.
• Participate in trainings and meetings.

Skills

Communication

Technology Skills

Education

Associate's degree in nursing

Tools

Interqual

NCCN

Job description

Position Title: Care Manager (RN)

Work Location: Remote US (except CA)

Assignment Duration: 6 months potential to extend to convert

Work Arrangement: Remote 9:30AM-6PM EST

Position Summary: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

To facilitate with ScriptMed cloud (a new Operating System) training and implementation.

Key Responsibilities:

• Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.
• Take inbound and make outbound calls.
• Work collaboratively with other departments and the physician's office to ensure best patient outcomes.
• Manage emails, messages, and trainings daily.
• Participate in trainings and meetings as needed.

Qualification & Experience:

Candidate Requirements
Education/Certification	Required: Associate's degree in nursing
Preferred:
Licensure	Required: Current State's RN license
Preferred:
2+ years of clinical nursing experience in a clinical, acute care, or community setting 1+ years of case management experience in a managed care setting Knowledge of utilization management principles and healthcare managed care Experience with medical decision support tools (e.g., Interqual, NCCN) and government-sponsored managed care programs
Nice to haves:
Strong communication skills Proficient technology skills
Disqualifiers:
Details not specified
Performance indicators:
Manage daily tasks with high quality; work towards department goals