RN Clinical Care Manager

RN Clinical Care Manager - Up to $55/hr

We are seeking a dedicated RN Clinical Care Manager to support individuals with complex healthcare needs through personalized, coordinated care. In this role, you will serve as a clinical guide, ensuring members receive the resources, education, and advocacy necessary to achieve their health goals. This is an opportunity to make a meaningful impact every day while working alongside a dynamic, compassionate team.

This is a fully remote role; however, only candidates living in Massachusetts will be considered due to company policy.

This is a contract position with a pay range between $47-55/hour based on experience.

• Conduct comprehensive clinical assessments to evaluate patient needs and create care plans
• Coordinate services across multidisciplinary teams to ensure continuity of care
• Educate members and families on care plans, treatment adherence, and health self-management
• Monitor progress and adjust care strategies to meet evolving health needs
• Ensure compliance with case management principles, regulatory standards, and NCQA requirements
• Document all interactions and care plans accurately in accordance with organizational and regulatory standards

• Minimum 2 years of professional RN experience in inpatient, outpatient, or differing levels of care
• Active RN licensure in Massachusetts
• Proficiency with electronic documentation using healthcare database systems
• Comfortable with phone-based work while having strong verbal communication skills
• Must be currently living in Massachusetts

• Previous case management or care management experience
• Experience working with diverse populations and individuals with complex care needs
• Familiarity with social determinants of health and care disparity interventions

• Case Management certification (CCM)
• Certified Diabetes Educator (CDE) or Wellcoach certification

Pro Pivotal is an equal opportunity employer and considers qualified applicants for employment regardless of race, gender, gender identity, gender expression, age, color, religion, disability, veteran's status, sexual orientation, or any other protected factor.