Care Manager Registered Nurse

Care Manager
Job Summary:
The Care Manager serves as the single point of contact for members, coordinating all care needs across healthcare, social, and community services. This community-based role involves conducting face-to-face assessments, developing individualized care plans, and facilitating care transitions for members with complex health, behavioral, and long-term support needs. The position is critical for ensuring members receive safe, cost-effective, and well-coordinated care in the least restrictive environment.
Key Responsibilities:

• Travel to members’ homes, nursing facilities, and community settings to complete in-person assessments.
• Develop, implement, and evaluate care plans tailored to members’ specific needs.
• Coordinate services across physical, behavioral, and long-term care providers to ensure continuity and integration of care.
• Facilitate transitions between care settings such as hospital-to-home or facility-to-community.
• Educate members and caregivers on health needs, benefits, and available resources.
• Collaborate with care teams, discharge planners, and internal staff to optimize member outcomes.
• Document all services and interventions in the electronic health record following compliance and privacy regulations.
• Monitor effectiveness of care plans and make adjustments as needed.
• Ensure timely provision of approved support services and resolve obstacles to optimal care.

Minimum Education & Experience Requirements:

• Bachelor’s degree in Social Work, Health, Human, or Education Services and 3 years of relevant experience, OR
• Master’s degree in related field and 1 year of relevant experience, OR
• Registered Nurse or Licensed Practical Nurse with 2 years of relevant experience, OR
• High school diploma or equivalent with 3 years of case management experience in aged, disabled, or behavioral health populations.

Special Requirements:

• Reliable transportation and willingness to conduct face-to-face visits starting week 1.
• Must live within 30 miles of assigned members’ homes.

Knowledge, Skills, and Abilities:

• Proficiency with Microsoft Office (Word, Excel, Outlook) and electronic documentation systems.
• Strong organizational, problem-solving, and communication skills.
• Ability to manage multiple cases, meet deadlines, and coordinate complex care plans.
• Cultural competency in addressing diverse populations.
• Flexible schedule to meet member needs, including travel within assigned territory.

Additional Desired Characteristics:

• Certified Case Manager (CCM) or licensed social work credentials (LBSW, LMSW, LCSW).
• Experience with behavioral health, HIV/AIDS, developmental disabilities, or geriatric populations.
• Managed care or Medicare/Medicaid experience.
• Experience in home clinical or case management settings.

Other Duties:

• This job description is not exhaustive. Other duties may be assigned as necessary to meet organizational objectives.

Job Type: Contract

Pay: $30.00 - $40.00 per hour

Application Question(s):

• Do you have a registered nurse license?
• Are you near or local to the Pittsburgh, PA area?

Experience:

• Registered Nurse: 3 years (Required)

Work Location: In person

Salary : $30 - $40