Population Health Care Manager, RN

WakeMed Health & Hospitals; Raleigh (NC); Hybrid; USD 75,000 - 105,000; Full time

Job summary

WakeMed Health & Hospitals is seeking a Population Health Care Manager, RN, to coordinate care for high-risk patients across ambulatory, inpatient, home, and community settings. You will collaborate with providers and care teams to develop individualized care plans, remove barriers to care, and support better health outcomes.

You will leverage your clinical leadership and strong communication skills to guide care transitions, educate patients, and ensure timely documentation while contributing

Qualifications

• Experienced RN with leadership and/or supervisory experience.
• Strong care coordination and case management background.
• Experience with high-risk or medically complex patients.
• Inpatient discharge planning and transitions of care is a plus.
• Excellent organization and communication skills.
• Ability to collaborate with multidisciplinary teams.

Responsibilities

• Provide care coordination and case management for high-risk patients.
• Assess needs and develop individualized care plans.
• Coordinate care across ambulatory, inpatient, home, and community settings.
• Collaborate with providers, teams, and families to ensure continuity of care.
• Delegate tasks to care team and guide follow-through.
• Identify barriers and connect patients with resources.
• Educate and coach patients to improve self-management.
• Use population health data to prioritize needs and improve care.
• Maintain thorough documentation of interactions and outcomes.
• Support achievement of quality, patient experience, and population health goals.

Skills

Care coordination

Leadership experience

Communication

Documentation

Interdisciplinary teamwork

Discharge planning

Education

Bachelor's degree in Nursing

Job description

Overview

As a Population Health Care Manager, RN, you’ll play an important role in helping high-risk and medically complex patients navigate their care across the continuum. Working as part of our Population Health team, you’ll combine your clinical expertise, leadership experience, and care management skills to coordinate services, remove barriers to care, and help patients achieve better health outcomes. You’ll partner closely with providers, interdisciplinary care teams, community resources, patients, and their support systems to develop and carry out individualized care plans. This role is a great fit for an experienced RN who is highly organized, communicates well, follows through on commitments, and enjoys bringing people together around a shared plan of care.

What You’ll Do

• Provide comprehensive care coordination, case management, and transition-of-care services for high-risk and medically complex patient populations.
• Assess patient needs and develop, implement, monitor, and evaluate individualized plans of care.
• Coordinate care across ambulatory, inpatient, home, and community settings to support safe and effective transitions.
• Partner with providers, practices, interdisciplinary team members, community agencies, patients, and families to ensure continuity of care.
• Delegate appropriate care plan activities to members of the care team and provide guidance to support successful follow-through.
• Identify barriers to care and connect patients with appropriate clinical, social, and community resources.
• Educate and coach patients to strengthen self-management skills and encourage active participation in their health.
• Utilize population health data, quality measures, and clinical information to prioritize needs and support high-quality, cost-effective care.
• Maintain timely, thorough, and accurate documentation of patient interactions, care plans, interventions, and outcomes.
• Support achievement of established quality, patient experience, and population health goals.

Who We’re Looking For

• An experienced Registered Nurse with previous nursing leadership and/or supervisory experience.
• Strong background in care coordination, case management, and managing high-risk or medically complex patients.
• Experience working collaboratively with multidisciplinary or interdisciplinary healthcare teams.
• Inpatient hospital experience is a plus, particularly experience with discharge planning, transitions of care, or complex patient needs.
• A highly organized professional who can manage multiple priorities while maintaining attention to detail.
• Strong documentation skills with a commitment to timely and consistent follow-through.
• An effective communicator who can build trusted relationships with patients, families, providers, and care team members.
• A collaborative team member who is comfortable providing direction, delegating responsibilities, and bringing the right people together to support the patient.
• Someone who is proactive, resourceful, and comfortable navigating complex clinical and social needs

The WakeWay to Excellence

• We put patients and families at the center of everything we do.
• We foster a culture of teamwork, respect, and collaboration to achieve the best outcomes.
• We embrace accountability, quality, and continuous improvement in our work.
• We support professional growth and encourage lifelong learning and development.
• We are committed to delivering compassionate care while advancing the health and well-being of the communities we serve.

Department Description

Population Health team and culture

• Flexible Hybrid Work Environment – Enjoy a hybrid schedule designed to support work-life balance while maintaining strong team connection and collaboration.
• Supportive, Team-Oriented Culture – Join a collaborative environment where leaders and team members work together to share knowledge, solve challenges, and support one another’s success.
• Strong Interdisciplinary Partnerships – Work closely with primary care providers, nurses, RN care managers, social workers, and other healthcare professionals to deliver coordinated, patient-centered care.
• Make a Meaningful Impact – Help patients with complex medical, behavioral, and social needs navigate the healthcare system, access critical resources, and achieve better health outcomes.
• Drive Innovation and Growth – Be part of a growing Population Health team with the opportunity to influence processes, lead improvements, and help shape the future of care management services.
• Purpose-Driven Work – Play a key role in advancing whole-person care, reducing barriers to care, and improving the health and well-being of the communities we serve.

About WakeMed

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, www.wakemed.org. EOE

Licensure

NC Registered Nurse Required

Education

Bachelor's Degree Nursing Required

Experience

No Experience Required