Care Manager, RN

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

📋 Description

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

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

• Create individualized care/service plans and collaborate with healthcare providers, specialists, and community resources.

• Identify challenges and barriers to care, providing suitable care management interventions.

• Coordinate efforts among members, families/caregivers, and care provider teams to ensure a person-centered approach to care.

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

• Revise and update care plans in collaboration with members, caregivers, and providers as necessary.

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

• Facilitate care management and ensure timely access to necessary care and services.

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

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

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

• Provide leadership insights on opportunities for improving care delivery and quality in a cost-effective manner.

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

⛳️ Requirements

• A degree from an accredited nursing program or a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

• An unrestricted Michigan RN license is mandatory.

• RN state licensure and/or compact state licensure is required.

• Availability to work Monday–Friday, 8 AM–5 PM Eastern Time.

• Capability to perform remote care management, outreach, documentation, and member education.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off plus holidays.

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

• Potential for additional incentive programs.

• Support for accommodations.