Contract Remote RN Care Manager – Transitional Care Management

Compact licensure is required, as well as at least one additional license in NV, MI, MN, OR, CA, MA, CT or IL

We are seeking a highly motivated and compassionate Registered Nurse (RN) to join our team as a Care Manager specializing in Transitional Care Management (TCM). In this role, you will be responsible for coordinating care transitions for patients discharged from hospitals or skilled nursing facilities, ensuring seamless continuity of care. This is a remote, work-from-home position with a 3-month contract, with the possibility of extension based on performance and organizational needs.

Key Responsibilities:

Patient Care Coordination:

• Perform telephonic outreach to recently discharged patients to provide care coordination and support.
• Assess patient needs, provide education, and address any post-discharge concerns.
• Create and implement individualized care plans, including follow-up appointments, medication management, and community resources.

Care Transition Management:

• Ensure timely follow-up with primary care providers and specialists.
• Address gaps in care and reduce the risk of readmissions.
• Facilitate communication between healthcare providers, patients, and caregivers.

Documentation & Reporting:

• Accurately document all patient interactions, interventions, and outcomes in the electronic health record (EHR).
• Track key metrics such as patient compliance, readmission rates, and care plan progress.
• Compliance:
• Adhere to all regulatory requirements, organizational policies, and evidence-based TCM protocols.

Qualifications:

Education:

• Current and unrestricted Registered Nurse (RN) license in the state of residence. Compact licensure is as well as at least one additional license in NV, MI, MN, OR, CA, MA, CT or IL.
• Bachelor of Science in Nursing (BSN) preferred.

Experience:

• Minimum of 2 years of clinical nursing experience, with a focus on care management, case management, or transitional care.
• Experience working remotely is a plus.

Skills:

• Excellent telephonic communication and interpersonal skills.
• Strong organizational and time-management abilities.
• Proficient in using EHR systems and remote work tools (e.g., telehealth platforms, Microsoft Office).

Certifications:

• Care Management Certification (CCM) or equivalent is a plus.

Work Schedule:

• Monday through Friday, 8:00 AM – 5:00 PM EST (flexibility may be required).

Contract Details:

• Initial 3-month contract with the possibility of extension based on performance and organizational needs.

Compensation:

• Competitive hourly rate commensurate with experience.