Care Manager (RN) - Ambetter - Remote

Overview

The Care Manager (RN) - Ambetter position focuses on developing and facilitating complex care management activities for members with primarily physical health needs, ensuring high-quality healthcare outcomes through personalized care plans.

In Short

• Develops and assesses care management activities for members.
• Creates personalized care plans and educates members and families.
• Coordinates between members, caregivers, and care provider teams.
• Monitors member status and updates care plans as needed.
• Provides resource support for various local services.
• May perform outreach via telephonic or digital means.
• Documents all care management activities for compliance.
• Facilitates education on disease processes and healthcare benefits.
• Offers feedback to improve care delivery.
• Complies with all policies and standards.

Requirements

• Degree from an Accredited School of Nursing.
• Bachelor's degree in Nursing preferred.
• 2 – 4 years of related experience.
• RN - Registered Nurse licensure required.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules including remote options.