Care Manager, RN

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

📋 Description

• Create, implement, and oversee personalized coaching care plans, updating them as patient needs or conditions evolve.

• Inform patients, caregivers, and internal teams about care requirements, safety measures, service expectations, caregiver duties, and next steps.

• Facilitate patient care by collaborating and communicating with clinical disciplines, internal stakeholders, case management agencies, and community resources.

• Offer continuous education and coaching to enhance caregiver skills and connect patients and families with available resources.

• Deliver SFC-specific clinical advice and support to Health Coaches, Care Specialists, and caregivers.

• Examine caregiver daily notes and related care documentation for each active SFC case at least every 14 calendar days, confirm completion, and address any identified issues.

• Report changes in condition, health or safety concerns, unmet care needs, service shortfalls, incidents, and urgent matters in accordance with clinical protocols.

• Fulfill requirements using authorized documentation, phone, and customer outreach systems including Salesforce, TalkDesk, Email, Teams, CareConnect, and MedFlyt.

• Identify gaps in clinical processes, documentation risks, recurring issues, and areas for enhancing SFC oversight and compliance workflows.

• Assist in policy implementation, compliance assessments, audit preparations, record validation, and necessary corrective actions.

• Ensure adherence to federal and Georgia regulations, Medicaid and EDWP programs, CCSP and SOURCE requirements, SFC guidelines, nursing standards, and company policies.

• Participate in team meetings virtually or in person as needed.

• Immediately escalate any unsafe or concerning issues related to customers or staff.

• Perform additional related duties as assigned by the supervisor.

⛳️ Requirements

• Graduation from an accredited nursing program.

• Valid and active Registered Nurse (RN) license in Georgia; Georgia compact RN licenses are acceptable.

• A minimum of two years of recent nursing experience with adults or geriatrics and/or adults with disabilities is preferred.

• Experience with Medicaid waiver programs, home and community-based services, clinical documentation review, care coordination, compliance monitoring, or clinical escalation workflows is preferred.

• Current CPR/first aid certification must be active or must be obtained prior to starting the position.

• Proven dedication to high-quality customer service.

• Capability to adhere to established scripts, workflows, policies, procedures, quality standards, and regulatory requirements.

• Excellent active listening skills.

• Proficient verbal and written communication skills.

• Strong typing skills and computer proficiency.

• Ability to navigate contact center technology, customer relationship management systems, telephone platforms, and various software applications.

• Effective problem-solving and critical thinking abilities.

• Reliable and punctual, with consistent attendance and adherence to schedules.

• Capacity to adjust to changing priorities, processes, systems, and business demands.

• Open to coaching and feedback.

• Ability to collaborate effectively as part of a team while also working independently within established guidelines.

• Strong clinical judgment and critical thinking capabilities.

🏝️ Benefits

• Competitive compensation.

• Medical benefits.

• Retirement plans.

• Wellness programs.

• Enjoyable company events.

• Continuous learning opportunities to advance your career.