Clinical - Care Manager (RN)

Spectraforce Technologies, Inc.; Raleigh (NC); Remote; USD 60,000 - 80,000; Full time

Job summary

Spectrumforce Technologies, Inc. is seeking a Care Manager (RN) to support Medicaid members remotely in Florida. The role involves reviewing referrals, proactive outreach, and guiding members through care management, education, and coordinated services.

The position requires RN licensure, ASN with BSN preferred, and about 1 year of nursing and case management experience. An autonomous, tech-savvy professional is essential for success.

Qualifications

• ASN required; BSN preferred.
• RN licensure required; BSN preferred.
• 1 year nursing experience and case management preferred.

Responsibilities

• Review referrals received daily in TruCare and perform timely telephonic outreach to eligible members.
• Explain care management services and obtain member participation.
• Complete assessments, identify barriers, and develop individualized care plans.
• Coordinate services, provide disease-specific education, and promote wellness exams and immunizations.
• Maintain accurate and timely documentation and manage a caseload of 75+; make ~400 calls per month.

Skills

Clinical assessment

Critical thinking

Member engagement

Communication skills

Time mgmt./organization

Education

ASN

BSN

Job description

Position Title

Care Manager (RN)

Work Location

Remote-FL- anywhere in the state (in case someone has an issue with internet or needs IT help, they must go to a welcome center to resolve issues)

Assignment Duration

6+ months

Work Schedule

8-5 M-F

Work Arrangement

Remote

Job Description

Review and prioritize new referrals received daily in TruCare, conduct timely telephonic outreach to eligible members, explain care management services and obtain member participation. Complete assessments, identify barriers to care, develop individualized care plans, coordinate services, provide disease-specific education, encourage completion of annual wellness exams, screenings, immunizations, elevate urgent concerns, maintain accurate and timely documentation. Care managers are expected to have an active caseload of 75 or higher, conduct 400 calls per month. Our Care Managers serve as the primary advocate, educator, coordinator, and problem-solver for complex Medicaid members. This role offers a unique opportunity to impact member health outcomes at both the individual and population level by addressing medical needs, behavioral health concerns, social determinants of health, and preventive care opportunities.

Candidate Requirements

Education/Certification Required: ASN Preferred: BSN Licensure Required: RN Preferred: Years of experience required: 1 year of nursing experience and case management preferred

Disqualifiers: low comfort with technology, inability to work independently, poor communication skills, difficulty managing multiple priorities

Additional qualities to look for: Our Care Managers are the hub of member-centered care. They combine clinical expertise, care coordination, health coaching, quality improvement, and social resource navigation to help Medicaid members achieve better health outcomes. This is a highly autonomous role that requires critical thinking, strong communication skills, and a passion for improving the health of underserved populations through whole-person care.

• Top 3 must-have hard skills stack-ranked by importance


• 1 Clinical assessment and critical thinking skills


• 2 Member engagement and communication skills


• 3 Time mgmt. and organization skills