Clinical Care Manager, RN

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

📋 Description

• Establish and maintain communication with assigned and active members through video, phone, text, and email.

• Gather and apply clinical information to create a customized member care plan and clinician-centered care plan following NCQA guidelines.

• Evaluate members' health status and their care coordination requirements.

• Collaborate with the healthcare providers of members as necessary.

• Use motivational interviewing techniques, tailored care plans, and the Triple Aim framework to empower active members in achieving their health objectives.

• Clearly explain the benefits of our Program to new or inactive members, particularly for those with chronic kidney disease and those at risk.

• Properly document, request, and transmit member information in compliance with HIPAA regulations.

• Meet individual performance metrics to enhance member engagement and retention.

⛳️ Requirements

• Must possess a valid RN license in good standing and be open to obtaining licensure in other states.

• A minimum of five years of RN experience is mandatory.

• Must reside in PST or MST and be available to work at least three late shifts per week.

• Experience in developing care plans for individuals with chronic conditions and/or Chronic Kidney Disease is strongly preferred.

• Bilingual proficiency in Spanish is highly preferred.

• A BSN degree is strongly preferred.

• CDE or CDCES certification is highly preferred.

• Previous experience working 100% remotely as a nurse is highly preferred.

• Willingness and ability to travel occasionally, which may include overnight stays for corporate events, conferences, and health fairs.

• Capability to attend and engage professionally in video meetings.

• Proficient technological skills, with the ability to effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products.

• An autonomous self-starter who is comfortable navigating ambiguity.

• A creative mindset with the ability to appropriately challenge the status quo.

• Excellent written and verbal communication skills.

• Capability to overcome challenges with a ‘yes if...’ attitude.

• Ability to effectively manage competing deadlines while maintaining focus on the overall objectives.

• Reliable internet and power supply with a designated workspace that minimizes interruptions.

🏝️ Benefits

• Competitive market salary, with potential annual merit increases and bonuses based on the company's fiscal performance.

• Generous paid time off and holidays, as we prioritize recharging.

• Outstanding healthcare coverage, with the majority of medical, dental, and vision premiums covered by the company.

• 401k plan with a generous employer match.