RN Care Manager: High-Risk Care Coordination (Remote)

Insight Global (United States); Florida; Hybrid; USD 80,000 - 100,000; Full time

Job summary

Insight Global is seeking a Care Manager (RN) for a top healthcare services client. This individual will lead care coordination efforts for high‑risk patients, ensuring smooth transitions across care settings and appropriate utilization of healthcare resources.

The ideal candidate is clinically strong, patient‑focused, and comfortable working both onsite and telephonically while partnering closely with providers and multidisciplinary care teams to improve outcomes and patient experience.

Qualifications

• Graduation from an accredited nursing program.
• BLS / CPR certification (AHA or Red Cross; or ability to obtain within 90 days).
• Prior experience in acute clinical care or equivalent.
• Experience in care management, utilization review, or discharge planning.
• Strong knowledge of HIPAA and patient confidentiality.
• Ability to work collaboratively with providers and multidisciplinary care teams.
• Strong patient communication, organization, and multitasking skills.
• Nice to have: experience in an acute care setting.
• Nice to have: prior HMO or managed care experience.
• Nice to have: transitions of care programs experience.
• Nice to have: experience with high-risk patient populations.
• Nice to have: bilingual English/Spanish.

Responsibilities

• Ensure continuity of care across inpatient and outpatient settings.
• Lead care management efforts in partnership with PCPs and the care team.
• Identify and follow high-risk patients across acute, SNF, custodial, and ambulatory settings.
• Coordinate treatment plans and appropriate utilization of resources.
• Educate patients and families about care plans and transitions.
• Support discharge planning, follow-up appointments, home health, and community resources.
• Use disease management protocols and care pathways to optimize outcomes.
• Perform telephonic triage and motivational interviewing to support self-management.
• Document care activities in the EHR and care management systems.
• Collaborate with physicians, hospitalists, and extended care facilities.
• Travel locally or provide remote coverage as business needs require.

Skills

BLS / CPR certification

Prior acute clinical care

Care management / utilization review

HIPAA knowledge

Collaborative care

Patient communication / organization

Education

Graduation from an accredited school of nursing

Job description

Insight Global is seeking a Care Manager (RN) for a top healthcare services client. This individual will lead care coordination efforts for high‑risk patients, ensuring smooth transitions across care settings and appropriate utilization of healthcare resources.

The ideal candidate is clinically strong, patient‑focused, and comfortable working both onsite and telephonically while partnering closely with providers and multidisciplinary care teams to improve outcomes and patient experience.