Care Manager (RN)
Spectraforce
US
Remote
4 days ago
Job Description
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.
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $35.00/hr - $40.00/hr.
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 | ||||
| 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. | |||
Applicant Notices & Disclaimers
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At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $35.00/hr - $40.00/hr.