Care Manager, RN

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

📋 Description

• Design, evaluate, and implement intricate care management initiatives primarily focused on members with physical needs.

• Create tailored care plans and provide educational resources for members and their families.

• Assess member needs, identify barriers to effective care, and consider social determinants of health.

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

• Recognize issues and obstacles to care and deliver suitable interventions.

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

• Monitor and follow up on member status, changes in condition, and progress toward the goals outlined in care plans.

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

• Facilitate care management and work with providers or specialists to ensure timely access to necessary care.

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

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

• Provide or coordinate education regarding disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits.

• Offer feedback to leadership on potential improvements in care and quality delivery.

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

⛳️ Requirements

• A degree from an accredited nursing school or a Bachelor of Science in Nursing (BSN) is required.

• A minimum of two to four years of relevant experience is necessary.

• An active RN license in New Jersey is mandatory.

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

• Must be available to work Monday through Friday, from 8:00 AM to 5:00 PM EST, with flexibility based on member and business requirements.

• Willingness to travel locally up to 50% for in-home member visits is essential.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plan.

• Tuition reimbursement options.

• Paid time off along with holidays.

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

• Additional incentive programs may be included in the overall compensation package.