Registered Nurse Care Manager - Value Based Care (VBC)

Hybrid/Remote position.

Make a Bigger Impact-Beyond the Bedside

At Care Advantage, we believe nursing is more than tasks and charts-it's about outcomes, advocacy, and meaningful connections. As a Registered Nurse Care Manager, Value-Based Care, you'll play a critical role in improving health outcomes for high-risk Medicaid members while helping reduce avoidable emergency department visits and hospital readmissions.

This is a role for experienced nurses who thrive on transition care coordination, patient education, and system-level improvement-and who want to see their clinical expertise translate into real, measurable impact.

What You'll Do

As an RN Care Manager in Value-Based Care, you'll serve as a clinical advocate and coordinator for a panel of high-risk Medicaid members, partnering with patients, families, caregivers, and interdisciplinary teams to support safe transitions and better long-term outcomes.

Key Responsibilities

Transition Care Coordination & Post-Discharge Follow-Up

• Conduct telephonic post-discharge follow-ups for high-risk members
• Review care plans and historical clinical documentation within EMR and PointClickCare prior to outreach
• Identify gaps in care, barriers to recovery, and opportunities to prevent readmissions
• Coordinate next steps with clinical and operations teams to address member needs

Clinical Performance & Quality Improvement

• Support targeted initiatives tied to health-plan performance measures
• Monitor and positively influence value-based contract metrics
• Identify trends and insights at the member level to drive continuous improvement
• Set and achieve quarterly performance goals

Education & Advocacy

• Educate patients, families, and caregivers to support adherence, self-management, and recovery
• Provide education and insights to internal clinical and operations teams, including population-specific initiatives (e.g., diabetes management)
• Serve as a clinical advocate in cross-functional and external partnerships

Collaboration & Leadership

• Partner closely with the Senior Vice President of Value-Based Care, Director of Population Health, and the broader VBC team
• Collaborate with internal and external clinical leaders to improve patient outcomes
• Create visibility across the organization for high-risk members and their individualized needs

Who We're Looking For

This role is ideal for nurses who enjoy autonomy, critical thinking, and relationship-driven care-and who are energized by improving outcomes at scale.

Required Qualifications

• Active Registered Nurse (RN) license in the covered region
• Minimum 5 years of nursing experience
• Experience conducting telephonic post-discharge follow-ups
• Strong clinical judgment, communication, and care coordination skills
• Candidate must reside in Virginia (prefer Richmond or the surrounding area)

Preferred Qualifications

• Experience in Value-Based Care, Population Health, Case Management, or Transition Care Coordination
• Bachelor's degree in nursing or related health field
• Leadership, management, or program development experience
• Proficiency in Microsoft Word, Excel, PowerPoint, and Teams

Why Care Advantage?

At Care Advantage, our mission is grounded in our core values:

Integrity • Compassion • Accountability • Respect • Excellence

You'll join a team that values your clinical expertise, supports professional growth, and empowers nurses to influence care beyond individual encounters, helping shape better systems, better experiences, and better outcomes.

Work Environment & Flexibility

• Combination of clinical coordination, telephonic outreach, and collaboration
• Regular travel required; occasional overnight or weekend work may be needed
• Physical requirements include sitting, standing, lifting up to 10 lbs, and general mobility
• Workplace accommodations are available when appropriate

Ready to Lead Change in Healthcare?

If you're a nurse who wants to reduce readmissions, improve transitions of care, and make value-based healthcare work for patients , we'd love to meet you.

Apply today and help redefine what nursing impact looks like.

Location: 23111, 23112, 23113, 23114, 23116, 23150, 23173, 23219, 23220, 23221, 23222, 23223, 23224, 23225, 23226, 23227, 23228, 23229, 23230, 23231, 23232, 23233, 23234, 23235, 23236, 23237, 23238, 23294, 23831, 23832