Care Manager, RN

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

📋 Description

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

• Design individualized care plans and provide education to members and their families.

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

• Create ongoing care/service plans and partner with providers, specialists, and community resources.

• Recognize care obstacles and deliver suitable interventions.

• Coordinate person-centered care among members, caregivers, and healthcare teams.

• Monitor member conditions, changes in status, and progress towards care-plan objectives.

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

• Ensure timely access to essential care and services.

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

• Maintain documentation of member information and care management activities for regulatory compliance.

• Educate members and caregivers on disease processes, care gaps, provider instructions, care alternatives, referrals, and benefits.

• Provide leadership insights on cost-effective care and opportunities for quality improvement.

• Carry out additional assigned responsibilities while adhering to policies and standards.

⛳️ Requirements

• Degree from an Accredited School of Nursing or a Bachelor’s degree in Nursing.

• 2–4 years of relevant experience.

• Active New Jersey Registered Nurse (RN) license.

• State Licensure and/or Compact State Licensure is required.

• Must reside in Hudson, Essex, or Union County.

• Willingness to travel locally up to 75% for in-home member visits.

• Monday–Friday, 8:00 AM–5:00 PM ET work schedule, with flexibility based on member and business requirements.

• Bilingual Spanish-speaking candidates are highly preferred.

🏝️ 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.

• Additional incentive forms may be included in the total compensation package.

• Equal opportunity employer dedicated to promoting diversity.