Care Manager, RN (St. Louis, MO/ Field-based)

FreedomCare•Saint Charles, MO

7h•$80,000 - $90,000•Onsite

About The Position

FreedomCare is hiring a Care Manager, RN for its Missouri team. The role supports In-Home Services, a Medicaid home and community-based services model that provides eligible participants with in-home assistance to help them live independently. The Care Manager, RN conducts initial in-home assessments and provides ongoing care management and support, combining clinical assessment, care coordination, patient and caregiver education, and quality assurance to support safe, effective, person-centered care. The RN works with patients, caregivers, and interdisciplinary care teams to assess needs, identify potential changes to individualized plans of care, and coordinate the initiation and delivery of services. Through regularly scheduled home visits, the RN evaluates patient and caregiver well-being, monitors care quality and effectiveness, and identifies opportunities to improve health outcomes, safety, and regulatory compliance. The role also involves communicating clinical concerns, changes in condition, and barriers to care to appropriate team members to support timely intervention and coordination. This is a field-based position requiring frequent travel to patients’ homes in the Greater St. Louis, Missouri area. Compensation is $80,000–$90,000 per year at the commencement of the first year of employment; pay decisions may depend on factors including skills, relevant experience, education, location, and licensure or certifications.

Requirements

Diploma from an accredited nursing program.
Valid and active Registered Nurse (RN) license in the State of Missouri.
Valid driver’s license and car insurance, with reliable transportation.
Commitment to high-quality customer service and the ability to communicate with empathy, patience, professionalism, and respect.
Ability to follow established scripts, workflows, policies, procedures, quality standards, and regulatory requirements.
Strong active listening skills and ability to understand patient needs, clarify concerns, and provide support or escalation when appropriate.
Effective verbal and written communication skills, including summarizing interactions, documenting case activity, and communicating case status and next steps.
Strong typing and computer proficiency, including ability to use contact center technology, customer relationship management systems, telephone platforms, and other software while accurately documenting interactions.
Effective problem-solving and critical-thinking skills, sound judgment, and ability to identify appropriate solutions and escalate concerns.
Dependability, punctuality, consistent attendance, schedule adherence, and commitment to performance expectations.
Ability to adapt to changing priorities, processes, systems, and business needs in a fast-paced environment.
Receptiveness to coaching and feedback, with ability to apply guidance and demonstrate continuous improvement.
Ability to collaborate as part of a team while also working independently within established guidelines.

Responsibilities

Conduct initial in-person clinical assessments and coordinate timely service activation, completing required documentation, approvals, and procedures.
Develop and manage individualized plans of care, documenting revisions as patient needs or conditions change.
Educate patients, caregivers, and internal teams about care needs, safety, service requirements, caregiver responsibilities, and next steps.
Coordinate patient care through timely communication and documentation with physicians, clinical disciplines, internal partners, and community resources.
Provide education and coaching to support best practices, caregiver competency, and connections to appropriate resources.
Review caregiver documentation regularly and respond to changes in the patient’s condition, environment, or service needs.
Identify changes in condition, safety concerns, service gaps, incidents, and urgent issues, and escalate them according to clinical protocols.
Accurately and thoroughly document assessments, visits, clinical observations, care-plan updates, incidents, communications, and follow-up actions within required timeframes.
Support authorization, renewal, start-of-care, and continued-service processes, as applicable.
Maintain compliance with regulatory requirements, professional standards, and company policies and procedures.
Perform other related duties as assigned by the supervisor.