Care Manager, RN

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

📋 Description

• Design, evaluate, and implement intricate care management activities for members primarily focused on physical health needs.

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

• Create continuous care plans while collaborating with healthcare providers, specialists, and community resources.

• Recognize issues and challenges in care, delivering appropriate care management interventions.

• Coordinate efforts among members, families, caregivers, and provider teams to guarantee person-centered care.

• Conduct follow-ups to monitor member status, changes in 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.

• Engage in outreach through telephonic, digital, home visits, and/or other locations.

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

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

• Offer leadership insights on potential enhancements to care quality and cost-effectiveness.

• Execute other assigned tasks while adhering to policies and standards.

⛳️ Requirements

• A degree from an accredited School of Nursing or a Bachelor’s degree in Nursing.

• 2–4 years of relevant experience.

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

• Experience in OB, NICU, and postpartum care is preferred.

• Must reside in Wisconsin.

• Familiarity with care management, member assessment, care planning, healthcare resources, and regulatory compliance is essential.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans available.

• Tuition reimbursement assistance.

• Paid time off in addition to holidays.

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

• Additional incentives may be included in the overall compensation package.

• An equal opportunity employer dedicated to diversity.