Care Manager - Registered Nurse (RN) - Fully Remote

Job Title: Care Manager – Registered Nurse (RN) Location: Fully Remote Duration : 6 Months (Extension Potential) Schedule : Monday–Friday, 8:00 AM–5:00 PM EST Candidates can reside anywhere in the continental US, as long as they have an active RN license in the state of FL Job Summary The Care Manager – Registered Nurse (RN) will be responsible for coordinating care for Special Needs Plan (SNP) members with multiple chronic medical conditions, behavioral health needs, and social determinants of health (SDoH) challenges. The RN will conduct comprehensive member assessments, develop individualized care plans, provide disease management education, coordinate healthcare services, and connect members with appropriate health plan benefits and community resources. This role involves significant telephonic engagement with members, accurate clinical documentation, and collaboration with interdisciplinary care teams to support positive health outcomes. Key Responsibilities Spend 50–75% of the workday engaging with members telephonically and coordinating their care. Conduct comprehensive assessments to identify members' medical, behavioral health, and social needs. Develop and implement individualized care plans based on member needs and health goals. Provide disease management education and support to help members manage chronic conditions. Coordinate care with interdisciplinary healthcare teams and other providers. Maintain accurate and timely documentation of assessments, interventions, and care management activities in electronic health records. Identify barriers to care and connect members with appropriate health plan benefits and community resources. Monitor member progress and support continuity of care. Meet required productivity, call volume, and regulatory compliance standards. Provide clinical guidance and support to other members of the care team as needed. Required Qualifications Associate of Science in Nursing (ASN) degree required. Active and unrestricted Florida RN license required. Minimum 3+ years of nursing experience. Minimum 2+ years of experience in Case Management, Discharge Planning, and/or Home Healthcare Coordination. Proficiency in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams. Strong verbal and written communication skills. Ability to work independently and collaborate with teams virtually. Must have a private, dedicated, quiet workspace with no distractions. Dependents must have separate care arrangements during working hours. Preferred Qualifications Bachelor of Science in Nursing (BSN). Experience with Medicare and/or Medicaid members. Experience working with chronic medical conditions, behavioral health, and Social Determinants of Health (SDoH). Experience conducting health assessments and developing individualized care plans. Familiarity with community resources and healthcare services. Bilingual skills, especially English and Spanish. #J-18808-Ljbffr APIDEL LTD