Care Manager, RN

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

📋 Description

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

• Analyze member requirements, obstacles to care, and social determinants impacting health.

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

• Detect issues and barriers to care and deliver care management solutions.

• Coordinate care among members, families, caregivers, and healthcare teams.

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

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

• Ensure timely access to necessary care and services.

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

• Maintain documentation of member information and care management activities to meet regulatory standards.

• Educate members and their families/caregivers on disease processes, care gaps, provider instructions, available care options, referrals, and healthcare benefits.

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

• Adhere to all policies and standards while performing additional assigned tasks.

⛳️ Requirements

• Residency in North Carolina is required.

• A valid North Carolina RN license is mandatory.

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

• A degree from an Accredited School of Nursing or a Bachelor’s degree in Nursing is essential.

• 2–4 years of relevant experience is expected.

• Work schedule is Monday–Friday, from 8:00 a.m. to 5:00 p.m., with potential for flexible hours after training.

• The position involves managing an approximate caseload of 73 members.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase program.

• Tuition reimbursement support.

• Paid time off along with holidays.

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

• Travel for meetings and team events (around 10%).