RN Care Manager

🔥 12 hours ago

🏄 California, Texas – Remote

🏄 California – Remote 🤠 Texas – Remote

💵 $38 - $70 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CareMore Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

💼 Consulting

🛡️ Insurance

📦 Logistics

Consulting • Insurance • Logistics

CareMore Health is an integrated healthcare organization delivering personalized, whole-person advanced primary care through a network of clinics and roughly 14,000 providers across multiple U. S. states. The company focuses on preventive care and management of complex chronic conditions, partnering with health plans, brokers, and provider networks to coordinate care for patients and accept a variety of insurance plans. CareMore emphasizes compassionate, patient-centered care, supporting both individual patients and institutional partners to improve outcomes and lower total cost of care.

📋 Description

• Manage a caseload of patients with complex or chronic conditions • Conduct comprehensive clinical assessments and develop individualized care plans • Lead care coordination across multidisciplinary teams and community resources • Manage hospital discharge planning, post-acute placement, and follow-up monitoring • Adjust care plans based on changing patient conditions and escalate when appropriate • Collaborate with payers on utilization management, authorization requirements, and documentation • Maintain case documentation and contribute to quality monitoring and reporting • Support value-based care and health equity goals

🎯 Requirements

• Active RN-level clinical qualifications and ability to practice within RN scope of practice • Experience or working knowledge in clinical case management, care coordination, utilization management, or related clinical assignments • Ability to assess complex medical, behavioral, and social needs • Ability to develop and implement individualized care plans • Ability to coordinate care across physicians, specialists, social workers, payers, and community resources • Knowledge of hospital discharge planning, post-acute placement, and follow-up monitoring • Ability to apply clinical judgment within established protocols and escalate appropriately • Ability to maintain accurate, timely case documentation • Ability to contribute to quality monitoring and reporting activities