Telephonic Nurse Care Manager

Accountabilities:

• Conduct comprehensive telephonic and virtual nursing assessments, reviewing patient health status and interpreting biometric, remote patient monitoring (RPM), and IVR data to identify trends and potential concerns.

• Develop, implement, and regularly adjust individualized nursing care plans based on patient needs, personal goals, evidence-based practices, and established clinical protocols.

• Use Motivational Interviewing techniques to encourage healthy behavior changes, treatment adherence, and greater patient engagement in self-management.

• Identify clinical risks, changes in patient condition, and urgent situations, escalating concerns promptly in accordance with clinical guidelines.

• Coordinate care with internal and external interdisciplinary teams, including arranging referrals and supporting transitions across the care continuum.

• Deliver proactive nursing interventions designed to improve clinical outcomes, reduce preventable hospitalizations and emergency department visits, and lower overall care costs.

• Maintain accurate, timely, and comprehensive documentation of all patient interactions and care management activities in the electronic health record (EHR).

• Participate in quality improvement initiatives, chart audits, and performance reviews to strengthen clinical quality and patient outcomes.

• Complete care management activities in accordance with client-specific workflows, performance expectations, and service-level requirements.

• Maintain compliance with applicable clinical, regulatory, HIPAA, and organizational standards.

Requirements:

• Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited college or university; a BSN is preferred.

• Active, unrestricted Registered Nurse (RN) license.

• Compact Nursing Licensure (NLC) and/or California RN license, depending on the assigned position.

• At least 5 years of broad clinical nursing experience.

• At least 3 years of experience in one or more of the following areas: care management, care coordination, home health, transitions of care, telehealth, virtual care, or chronic disease management.

• Clinical experience managing conditions such as cardiac, pulmonary, and endocrine disorders is valuable.

• Strong clinical assessment, critical-thinking, and decision-making skills, particularly in remote care settings.

• Excellent verbal and written communication skills, with the ability to build effective relationships with patients, caregivers, colleagues, and clients.

• Strong organizational and time management abilities, including the capacity to prioritize competing responsibilities and manage patient needs effectively.

• High level of accountability for patient safety, care quality, and clinical outcomes.

• Ability to work independently while collaborating effectively with distributed, interdisciplinary teams.

• Strong computer proficiency, including EHR documentation, navigating multiple technology platforms, and troubleshooting basic technical issues.

• Flexibility to work assigned time zones and schedules according to client needs.

• Ability to maintain a private, quiet, secure, and distraction-free home office with reliable high-speed internet.

• Comfort with extended periods of sitting and performing computer-based tasks.

Benefits:

• Competitive compensation.

• Comprehensive employee benefits package.

• Fully remote, home-based work environment.

• Opportunity to work with virtual care and remote patient monitoring technologies.

• Mission-driven and collaborative culture focused on innovation and patient impact.

• Opportunities for professional growth and development.