Care Manager, RN

This is a fully remote position, open to applicants in Florida.

📋 Description

• Design, evaluate, and implement intricate care management strategies for members primarily with physical health needs.

• Create tailored care plans and provide educational resources for members and their families.

• Assess member requirements, obstacles to accessing care, and social determinants influencing health.

• Formulate continuous care plans and collaborate with healthcare providers, specialists, and community organizations.

• Recognize issues and barriers to care while delivering care management solutions.

• Facilitate coordination among members, their families/caregivers, and healthcare provider teams.

• Monitor and follow up on member status, changes in condition, and progress towards care plan objectives.

• Update or adjust care plans in collaboration with members, caregivers, and providers as necessary.

• Offer support for resources relating to employment, housing, participant direction, independent living, justice, and foster care.

• Promote effective care management and ensure timely access to necessary services or care.

• Conduct outreach through telephonic, digital, home, and/or other site visits.

• Gather, record, and maintain member data and care management activities to ensure regulatory compliance.

• Provide or facilitate educational sessions on disease processes, care gaps, provider instructions, care alternatives, referrals, and healthcare benefits.

• Offer leadership insights on potential improvements in care and quality service delivery.

• Execute additional responsibilities as assigned while adhering to policies and standards.

⛳️ Requirements

• A degree from an accredited School of Nursing or a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

• RN - Registered Nurse - State Licensure and/or Compact State Licensure is required.

• Must be a licensed RN in Florida.

• Candidates must reside in the state of Florida.

• Availability to work Monday–Friday, from 8am to 5pm Eastern Time.

• Clinical experience with chronic conditions or diseases is preferred.

• Experience in case management is advantageous.

• Background in managed care is beneficial.

• Strong time management and communication abilities.

• Adherence to relevant policies, standards, and regulatory requirements.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office scheduling.

• Additional incentives may be included in the overall compensation package.