RN Care Manager

Job Description:

• Develop, assess, and facilitate complex care management activities for primarily physical-needs members
• Evaluate member needs, care-access barriers, and social determinants of health
• Develop ongoing care plans and collaborate with providers, specialists, and community resources
• Identify problems and barriers to care and provide care management interventions
• Coordinate members, families/caregivers, and care provider teams to ensure person-centered care
• Follow up and monitor member status, condition changes, and progress toward care-plan goals
• Provide resource support for employment, housing, participant direction, independent living, justice, and foster-care services
• Facilitate care management and timely access to needed services
• Conduct telephonic, digital, home, and/or other site outreach
• Collect, document, and maintain member information and care-management activities for regulatory compliance
• Educate members and families/caregivers on disease processes, care gaps, provider instructions, care options, referrals, and healthcare benefits
• Provide leadership feedback on opportunities to improve care quality and cost-effectiveness
• Comply with all policies and standards and perform other assigned duties

Requirements:

• Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing
• 2–4 years of related experience
• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• Preference for applicants who reside in Kentucky or the eastern or central time zone
• Preference for applicants with an active Kentucky State or Compact RN license
• Preference for experience in medical-surgical or other inpatient units, clinical outpatient settings such as home health, or care management
• Availability Monday through Friday, 8–5 PM CT or ET

Benefits:

• Competitive pay
• Health insurance
• 401K plan
• Stock purchase plan
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules
• Additional forms of incentives may be included in total compensation
• Equal opportunity employer committed to diversity