Care Manager, RN

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

📋 Description

• Design, evaluate, and implement intricate care management initiatives for members with predominantly physical health requirements.

• Assess member needs, barriers to accessing care, and the social determinants impacting health.

• Create continuous care plans and collaborate with healthcare providers, specialists, and community resources.

• Identify challenges and obstacles to care and deliver suitable interventions.

• Coordinate efforts among members, families/caregivers, and healthcare provider teams.

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

• Offer resource support for services including employment, housing, participant direction, independent living, justice, and foster care.

• Facilitate care management and partner with providers to ensure prompt access to care.

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

• Gather, document, and maintain member information and care management activities to ensure regulatory compliance.

• Educate members and families/caregivers about disease processes, care gaps, provider instructions, care options, referrals, and benefits.

• Provide leadership insights on potential improvements to care quality and cost-effectiveness.

• Perform additional assigned tasks and adhere to policies and standards.

⛳️ Requirements

• Preference will be given to candidates residing in the eastern or central time zones.

• An active Kentucky State or Compact RN license is mandatory.

• Experience in medical-surgical or other inpatient units, clinical outpatient environments such as home health, or care management is preferred.

• A degree from an Accredited School of Nursing or a Bachelor's degree in Nursing is required.

• 2–4 years of relevant experience is necessary.

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

• Must comply with all policies and standards.

🏝️ Benefits

• Competitive pay

• Health insurance

• 401K

• Stock purchase plans

• Tuition reimbursement

• Paid time off plus holidays

• Flexible work approach with remote, hybrid, field, or office work schedules

• Total compensation may also encompass additional forms of incentives