Care Manager (RN) - J01007

Position Title: Care Manager (RN)

Location: Remote

Duration: 12+ Months Contract

Possibility to extend or convert?: Yes for extension and conversion

Estimated Start Date: Jan 5th

Pay Rate: $45.00/hr on W2

Shift Schedule: EST working hours 8AM-5PM

Must Have

Required: Graduation for an accredited Nursing program or bachelors degree Required: Registered Nurse Preferred: CCM Years of experience required: 5 years or more experience with adults. A home care RN historically does well in this position Comfortable with cold calls and able to pivot in different directions to work with each member with compassion and empathy. Highly organized The ability to prioritize and change priorities on a daily basis for the member and as needed for team and business needs.

Position Purpose:

Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.

Education/Experience:

Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 - 6 years of related experience.

License/Certification:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Responsibilities

Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the

member's goals / unmet needs

May identify problems/barriers for care management and appropriate care management interventions for escalated cases Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans/service plans May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ? Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice? Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Other duties or responsibilities as assigned by people leader to meet business needs Performs other duties as assigned Complies with all policies and standards

Interested candidates please send resume in Word format Please reference job code 247760 when responding to this ad.

Get job alerts by email. Sign up now! Join Our Talent Network! Salary Details This salary was provided in the Job Posting. $40-$45 Hourly Salary Job Snapshot Employee Type Contractor Location Indianapolis, IN (Onsite) Job Type Health Care, Insurance, Nurse Experience Not Specified Date Posted 12/03/2025 Apply to this job. Think you're the perfect candidate? Apply Now