CareMore RN Care Manager

CareMore Health Management Services, LLC; California (MO); Hybride; USD 81 000 - 146 000; Plein temps

Résumé du poste

CareMore Health Management Services, LLC is seeking a Clinical Case Manager, RN to manage a caseload of patients with complex or chronic conditions, applying RN-level clinical judgement to assess needs and coordinate care plans. You'll lead care coordination across multidisciplinary teams, manage transitions, and support value-based care initiatives while documenting care and monitoring outcomes.

This full-time role requires collaboration with physicians, social workers, and community resources,

Qualifications

• RN licensure in good standing.
• Experience with patients with complex medical, behavioral, and social needs.
• Ability to coordinate multidisciplinary care teams.

Responsabilités

• Conduct comprehensive clinical assessments and develop individualized care plans within RN scope.
• Lead care coordination across physicians, social workers, and community resources.
• Manage transitions including discharge planning and post-acute placement.
• Adjust care plans based on patient conditions and escalate when needed.
• Collaborate with payers on utilization management and documentation.

Connaissances

RN

Care coordination

Utilization management

Clinical assessment

Chronic conditions

Formation

RN license

Description du poste

Job Description Summary

Manages a caseload of patients with complex or chronic conditions, applying RN-level clinical judgement to assess needs, coordinate care plans, facilitate transitions, and advance value-based care and health equity goals.

Clinical Case Manager, RN performs a range of clinical assignments under general supervision, applying working knowledge and growing experience to recognize patterns and identify when senior consultation is needed. Decisions are made within established protocols and involve non-complex to moderately complex clinical situations. This job broadens clinical capabilities across routine case types and strengthens judgment through increasing experience in the discipline.

How will you make an impact & Requirements

Key Responsibilities

• Conduct comprehensive clinical assessments for patients with complex medical, behavioral, and social needs, developing individualized care plans within RN scope of practice.
• Lead care coordination across multidisciplinary teams — including physicians, specialists, social workers, and community resources — to implement care plans and resolve barriers to care.
• Manage care transitions including hospital discharge planning, post-acute placement, and follow-up monitoring to reduce readmissions and ensure continuity.
• Apply clinical judgment to adjust care plans in response to changing patient conditions, escalating to physicians or supervising clinicians when appropriate.
• Collaborate with payers on utilization management activities, authorization requirements, and documentation to support value-based contract performance.
• Maintain accurate, timely case documentation and contribute to quality monitoring and reporting activities.

Compensation Range: $38.97 to $70.15 The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans.

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