RN Care Manager - Primarily remote - Greensboro, NC

## RN Care Manager
- Primarily remote
- Greensboro, NCApplyremote type:
Hybrid locations:
Greensboro Hub (NC) time type:
Full time posted on:
Posted 2 Days Agojob requisition :
R-1575
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* Job Description:

**** Location & Work Requirements
** The operational model for this role is primarily remote, with required on-site components based on specific member and business needs. This operational model is subject to change based on evolving organizational and member needs.
The RN Care Manager (RNCM) manages a panel of clinically complex members to support impactable clinical programs, quality gap initiatives and ED and IP utilization. The RNCM collaborates with members to create a care plan and oversees progress to the plan, frequently reassessing needs while moving members toward clinical program and pathway graduation.  The RNCM coordinates closely with both the integrated Cityblock Care Team as well as external providers and community partners.
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** Key Responsibilities
*** Receives members from the engagement and central teams, clearly communicating program expectations, including duration and goals.
* Completes self-efficacy and condition-specific screeners during the assessment and intake phase, along with behavioral health screeners like PHQ-9, GAD-7, AUDIT, and DAST-10 to identify behavioral health needs.  Refers members to behavioral health programs as needed.
* Conducts in-person clinical examinations when appropriate and collaborates with care team members to determine member placement in programs of varying intensity.
* Prepares for and actively participates in case conferences, leading discussions when necessary.
* Develops a care plan in collaboration with the member, addresses social needs with the support of the Community Health Partner and supports members in achieving their care plan goals through coordinated and comprehensive care efforts
* Conducts regular clinical visits and follow-ups per clinical program and pathway guidelines, monitoring routine therapeutic interventions and addressing member needs promptly.
* Collaborates with the care team to support a panel of assigned members, providing clinical assistance in health maintenance, chronic disease management, and co-occurring psychiatric disorder support.
* Performs medication reconciliation, administration, compliance, and education as part of member care.
* Addresses quality gaps prioritized by the contracted company and ensure thorough chart documentation and coding (ICD or CPT) to validate gap closures.
* Utilizes care facilitation tools, electronic health records, and scheduling platforms to gather data, document member interactions, organize information, track tasks, and communicate with team members and community resources.### ### Success Metrics
* Members have an active care plan and are enrolled into appropriate clinical programs based on identified needs
* Support members in progressing toward and completing care plan goals and program graduation
* Closure of quality gaps for members on assigned panel
* Completion of accurate and timely documentation
* Effective collaboration with interdisciplinary care team members
* Effective coordination of care with external providers and community resources
* Support members through inpatient and ED transitions of care### ##
** Job Requirements**## Professional Experience & Knowledge

* Education:

Graduate of an accredited school of nursing (R.N.)

* Experience:

3+ Years of experience
* Problem Solving:
Strong critical thinker with sound clinical judgment who makes complex decisions independently and knows when to collaborate. Identifies system barriers to care and develops creative, practical solutions. Demonstrates a growth mindset and openness to innovative approaches to improve outcomes.
* Communication:
Strong written and verbal communicator across phone, text, virtual, and in-person settings. Comfortable using technology to engage members remotely. Applies Motivational Interviewing and Trauma-Informed Care principles to build trust. Effectively translates clinical information for non-clinical audiences and actively listens to understand and address needs.##
** Behavioral Competencies
** Member Advocate
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