Care Manager, RN

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

📋 Description

• Design, evaluate, and oversee intricate care management activities for members with predominantly physical requirements.

• Develop tailored care plans and provide education to members and their families.

• Assess member needs, identify access obstacles, and consider social determinants of health.

• Create continuous care/service strategies and collaborate with providers, specialists, and community resources.

• Recognize care obstacles and implement care management interventions.

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

• Monitor and follow up on member status, changes in condition, and progress of care plans.

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

• Ensure prompt access to necessary care and services.

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

• Gather, document, and manage member information and care management activities to comply with regulatory standards.

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

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

• Carry out additional assigned tasks and adhere to policies and standards.

⛳️ Requirements

• Degree from a recognized nursing school or a Bachelor’s degree in Nursing.

• 2–4 years of relevant experience.

• Current New Jersey Registered Nurse (RN) license is mandatory.

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

• Capable of conducting up to 50% local travel for in-home member visits within the assigned area.

• Availability from Monday to Friday, 8:00 a.m. to 5:00 p.m. ET, with flexibility according to member and business requirements.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase options.

• Tuition reimbursement programs.

• Paid time off in addition to holidays.

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

• Additional incentive programs may be part of the overall compensation package.