Care Manager Registered Nurse
Core
Manage a panel of high-acuity patients through remote case management and targeted in-clinic support to reduce avoidable admissions and emergency department utilization.
Role type
Senior IC care manager registered nurse
Builds
Coordinated, proactive, patient-centered care plans and outcomes
Domain
Primary care / Chronic disease management / Rural healthcare
Required skills
Registered Nurse (RN) license, Case management, Care coordination, Telephonic outreach, Clinical collaboration, Quality metrics tracking, Social determinants of health assessment, Motivational interviewing, Disease management education, Regulatory compliance
Preferred skills
Behavioral health experience, Community-based organization experience, Home visit coordination
Technologies
Telehealth platforms, Electronic Health Records (EHR), Care management software
Responsibilities
Manage a defined panel of high-risk patients and develop individualized care plans; Perform ongoing telephonic outreach and monitoring to improve patient outcomes; Coordinate care across providers, specialists, hospitals, and community resources; Partner with interdisciplinary teams to align on care priorities and escalate clinical concerns; Track and improve quality and utilization metrics; Conduct occasional in-office presence for high-risk patient visits and home safety assessments.
Seniority
Mid-level, hands-on IC