Care Manager, RN

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

📋 Description

• Design, implement, and oversee intricate care management initiatives for members with predominantly physical needs.

• Assess member requirements, barriers to access, and social determinants impacting health.

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

• Identify care challenges and obstacles, delivering appropriate care management solutions.

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

• Track member status, changes in condition, and advancement towards care plan objectives.

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

• Ensure prompt access to essential care and services.

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

• Gather, document, and maintain member data and records of care management activities.

• Inform members and caregivers about disease processes, care gaps, provider instructions, care alternatives, referrals, and healthcare benefits.

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

• Execute other assigned responsibilities while adhering to policies and standards.

⛳️ Requirements

• Graduation from an accredited nursing school or possession of a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

• Unrestricted RN license in Michigan is mandatory.

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

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

• Capability to work remotely from any location within the United States.

• Adherence to current state, federal, and third-party payer regulations.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

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

• Additional incentives may be part of the overall compensation package.

• Equal opportunity employer dedicated to promoting diversity.