Care Manager (RN) Position Available In Wake, North Carolina

Care Manager (RN) Spectraforce Technologies United States, North Carolina, Raleigh 500 West Peace Street (Show on map) Jun 24, 2025

Position Title:

Care Manager (RN)

Work Location:

Remote US (except CA)

Assignment Duration:

6 months potential to extend to convert

Work Arrangement:

Remote 9:30AM-6

PM EST Position Summary:

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. To facilitate with ScriptMed cloud (a new Operating System) training and implementation.

Key Responsibilities:

Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.
Take inbound and make outbound calls.
Work collaboratively with other departments and the physician’s office to ensure best patient outcomes.
Manage emails, messages, and trainings daily.
Participate in trainings and meetings as needed.

Qualification & Experience:

Candidate Requirements
Education/Certification

Required:

Associate’s degree in nursing

Preferred:

Licensure

Required:

Current State’s RN license

Preferred:

Years of experience required
Disqualifiers
Best vs. average
Performance indicators Must haves: 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

Nice to haves:

Strong communication skills, Proficient technology skills.

Disqualifiers:

Performance indicators: Must be able to manage daily tasks with a high quality of work. – Goals will be given to the candidate to help them work towards the department’s expectations for success. Top 3 must-have hard skills
Level of experience with each
Stack-ranked by importance
Candidate Review & Selection 1 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.
2 Knowledge of utilization management principles and healthcare managed care.
3