Care Manager, RN

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

📋 Description

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

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

• Analyze member needs, access challenges, and social determinants impacting health.

• Formulate care/service plans and collaborate with healthcare providers, specialists, and community organizations.

• Recognize care obstacles and deliver care management solutions.

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

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

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

• Ensure timely access to necessary care and services.

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

• Gather, document, and preserve member data and care management activities to meet regulatory standards.

• Educate members and their families/caregivers on disease processes, care gaps, provider directives, care alternatives, referrals, and healthcare benefits.

• Provide constructive feedback on potential improvements to care quality and cost-effectiveness.

• Execute other assigned responsibilities and adhere to established policies and standards.

⛳️ Requirements

• Degree from an accredited nursing program or a Bachelor’s degree in Nursing.

• 2–4 years of relevant experience.

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

• WA State RN Licensure and/or Compact State Licensure required.

• Experience with maternal and infant populations is highly preferred.

• Experience assisting members in behavioral health crises is strongly preferred.

• Availability to work Monday–Friday, from 8:00 am to 5:00 pm Pacific Standard Time (PST).

🏝️ 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 forms of incentives may be included in total compensation.

• Equal opportunity employer dedicated to fostering diversity.