CareMore RN Care Manager

CareMore Health; California, Northern (MO, KY); Hybrid; USD 81,000 - 146,000; Full time

Job summary

CareMore Health is seeking an RN Care Manager to oversee a caseload of patients with complex or chronic conditions, using RN-level clinical judgment to assess needs, coordinate care plans, and facilitate transitions.

The role supports value-based care and health equity goals, collaborates with multidisciplinary teams, and involves payer coordination and documentation. This is a remote, full-time position with California and Texas locations.

Qualifications

• RN-level clinical judgment to assess needs and coordinate care plans.

Responsibilities

• Conduct comprehensive clinical assessments for patients with complex medical, behavioral, and social needs.
• Lead care coordination across multidisciplinary teams to implement care plans and resolve barriers.
• Manage care transitions including hospital discharge planning, post-acute placement, and follow-up monitoring to reduce readmissions.
• Apply clinical judgment to adjust care plans and escalate to physicians when appropriate.
• Collaborate with payers on utilization management, authorization, and documentation for value-based contract performance.
• Maintain accurate, timely case documentation and contribute to quality monitoring and reporting.

Job description

CareMore RN Care Manager page is loaded## CareMore RN Care Managerremote type: Remote - Full Timelocations: California, USA: Texas, USAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: M105230**Job Description Summary**Manages a caseload of patients with complex or chronic conditions, applying RN-level clinical judgment 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:**$38.97to$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.*At CareMore Health, we provide effective Advanced Primary Care and Palliative Care by seeing the whole person - body, mind, and spirit. We do it with doctors and nurses who provide personalized and compassionate care, nationally recognized disease prevention and management programs, and healthy-living plans. It helps patients get healthier, while receiving the healthcare experience they've always wanted.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. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care. For more information, please visit www.mosaichealth.com.Mosaic Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact [e-mail] for assistance.