Position Title: Care Manager (RN)
Work Location:
Remote-FL
Assignment Duration: 3 months (possibility of extension or conversion)
Work Schedule: Monday - Friday 8 am - 5 pm (No overtime required)
Job Description:
The Care Manager RN serves as the clinical lead for assigned members, focusing on maternal-child health and high-risk Medicaid populations. Daily responsibilities include reviewing referrals and risk stratification reports, conducting comprehensive Trimester based assessments, developing and updating individualized care plans, coordinating services with providers and community partners, completing member outreach, addressing gaps in care, and documenting interventions in the care management platform.
| Candidate Requirements |
| Education/Certification |
Required: 3 years of recent RN clinical experience.
5+ years of nursing experience with care management, case management, maternal-child health, OB, NICU, pediatrics, population health, Medicaid, managed care, or community health experience. |
Preferred: Case Management experience |
| Licensure |
Required: RN |
Preferred: NA |
Years of experience required: Minimum: 3 years of recent RN clinical experience.
5+ years of nursing experience with care management, case management, maternal-child health, OB, NICU, pediatrics, population health, Medicaid, managed care, or community health experience. Active, unrestricted RN license required
Disqualifiers:
No active RN license
Less than 3 years of nursing experience
No experience managing high risk OB member/populations or coordinating care across multiple disciplines
Inability to work independently in a remote environment
Limited computer proficiency or difficulty navigating multiple systems simultaneously
Poor documentation, time management, or organizational skills
No experience conducting telephonic member outreach and engagement (preferred for experienced candidates)
Additional qualities to look for:
Strong critical thinking and clinical assessment skills
Exceptional communication and motivational interviewing abilities
Ability to build rapport with diverse member populations
Highly organized and self-directed
Strong problem-solving skills
Ability to prioritize a large caseload and competing priorities
Passion for improving maternal and infant health outcomes
Experience collaborating with community resources, providers, hospitals, and interdisciplinary teams
Adaptability in a fast-paced and changing healthcare environment
Data-driven mindset with focus on quality outcomes and compliance |
- Top 3 must-have hard skills stack-ranked by importance
|
1 |
Case Management and ability to conduct comprehensive assessments, identify risks, develop care plans, and coordinate interventions for complex members.
|
| 2 |
Experience managing a caseload, coordinating services across providers and community resources, addressing SDOH needs, and closing care gaps. |
| 3 |
Proficiency documenting assessments and interventions, maintaining compliant records, and utilizing care management platforms, EMRs, and Microsoft Office applications.
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