Job Description

Seeking a compassionate and driven Registered Nurse (RN) Care Manager to join our team in a role designed for nurses who are ready to expand their impact beyond the traditional clinical setting. This position offers the opportunity to work closely with individuals who have complex medical, behavioral, and social needs, helping them navigate the healthcare system while improving their overall well-being. As an RN Care Manager, you will play a vital role in delivering holistic, patient-centered care that addresses not only physical health, but also the underlying factors that influence long-term outcomes.

In this role, you will engage members both over the phone and through occasional in-person visits in community or hospital settings. You will conduct comprehensive assessments that evaluate medical, behavioral, functional, and social determinants of health, and use this information to develop individualized care plans that align with each member’s unique needs, goals, and preferences. By applying active listening and motivational interviewing techniques, you will help members better understand their health conditions, identify personal goals, and take meaningful steps toward positive behavior change.

The RN Care Manager serves as both an advocate and an educator, guiding members through complex healthcare decisions and ensuring they have access to the right resources at the right time. You will help members overcome barriers to care by identifying challenges, offering practical solutions, and connecting them with appropriate community-based services. In cases where urgent or high-risk situations arise, you will use your clinical judgment to escalate concerns appropriately and ensure members receive timely interventions.

Collaboration is a key component of this position. You will work alongside an interdisciplinary care team, presenting complex cases and contributing valuable clinical insight to support care planning and decision-making. Simultaneously, you will operate with a high level of autonomy, managing your own caseload in a structured virtual environment while meeting established performance goals. This balance of independence and collaboration allows you to fully utilize your clinical expertise while continuing to grow professionally.

This role is well-suited for nurses who are passionate about making a meaningful difference in patients’ lives and who are seeking a more flexible and strategic approach to care delivery. It offers the opportunity to build strong, lasting relationships with members, develop expertise in case management and population health, and play a direct role in improving healthcare outcomes on a broader scale. Candidates must hold an active, unrestricted RN license in Pennsylvania, have either an associate's or bachelor’s degree in nursing, and reside in the Philadelphia region. A strong passion for working with complex populations, along with the ability to work independently in a home-based setting with occasional travel, is essential.

Preferred candidates will have prior experience in case management, care coordination, or managed care environments, particularly with high-risk or medically complex populations. Additional qualifications such as a Certified Case Manager (CCM) credential, experience with utilization review or risk management, technical proficiency with Microsoft Office applications, and bilingual capabilities are considered valuable assets.

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