Care Manager, RN

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

📋 Description

• Design, evaluate, and implement intricate care management initiatives for members primarily requiring physical support.

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

• Create continuous care/service plans and collaborate with healthcare providers and community resources.

• Recognize challenges and barriers to care while delivering appropriate care management interventions.

• Coordinate individualized care among members, their families/caregivers, and provider teams.

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

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

• Ensure timely access to necessary care and services.

• Conduct outreach via telephone, digital platforms, home visits, and other sites.

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

• Inform members and families/caregivers about disease processes, care gaps, provider directives, care options, referrals, and healthcare benefits.

• Provide leadership insights on opportunities to enhance care quality and cost-effectiveness.

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

⛳️ Requirements

• Degree from an accredited nursing school or a Bachelor's degree in Nursing.

• 2–4 years of relevant experience.

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

• Strong background in both physical and behavioral health.

• Capacity to assess member needs, barriers to care, and social determinants of health.

• Proficiency in developing and maintaining care/service plans.

• Ability to collaborate with members, caregivers, providers, specialists, and community resources.

• Competence in documenting and maintaining member information and care management activities for regulatory compliance.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement program.

• Paid time off in addition to holidays.

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

• Potential for additional incentives as part of total compensation.

• Equal opportunity employer dedicated to promoting diversity.