Senior Care Manager, RN

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

📋 Description

• Evaluate, strategize, and execute intricate care management activities.

• Create tailored care/service plans for members.

• Regularly review care plans and collaborate with providers, specialists, and community resources.

• Facilitate coordination among members, families, caregivers, and care provider teams.

• Track member status, changes in condition, progress, and goals of the care plan.

• Identify obstacles and implement care management interventions for complex cases.

• Analyze member data, referrals, and intake assessments to enhance quality and refine care plans.

• Conduct outreach via telephone, digital means, home visits, and/or site visits.

• Work alongside healthcare providers to streamline services and treatments.

• Gather, document, and preserve member and care management information for regulatory compliance.

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

• Collaborate with leadership to enhance cost-effective care and quality service delivery.

• May mentor new clinical hires and provide coaching, shadowing, onboarding, and competency support.

• Work with People Leaders and cross-functional teams to assess readiness.

• Undertake additional assigned duties and adhere to policies and standards.

⛳️ Requirements

• Must be a resident of North Carolina.

• An active RN license is required.

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

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

• 4 to 6 years of relevant experience.

• Experience with the pediatric population, particularly in CMARC (Care Management for At-Risk Children), is preferred.

• Background in care management.

• Strong assessment capabilities.

• Proficient in computer skills, including Microsoft applications.

• Exceptional communication and customer service abilities.

• Keen attention to detail.

• Strong organizational and management skills.

• Effective time management capabilities.

• Availability from Monday to Friday, 8:00 AM to 5:00 PM.

🏝️ 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 incentives may be included in total compensation.

• An equal opportunity employer with a focus on diversity.