Registered Nurse Care Manager Plus

Akron Children's Hospital•Akron, OH

4d•Remote

About The Position

The RN Care Manager Plus provides comprehensive, family-centered care management to pediatric and young adult patients, including attributed managed care members, who have complex medical, behavioral, and social needs. Under the direction of the department Supervisor, the role applies the nursing process to support compliance with NCQA Complex Care Management (CCM) standards, interdisciplinary collaboration, improved population health outcomes, reduced overall cost of care, and high standards of clinical quality and patient experience. The RN Care Manager Plus partners with children and their caregivers to develop and coordinate individualized care plans addressing physical needs, psychosocial and emotional factors, and social drivers of health. The position is full time, remote, and scheduled for 40 hours per week on days from 8:00 a.m. to 4:30 p.m.

Requirements

Bachelor of Science in Nursing from an accredited nursing academic program.
Current, unrestricted multistate license as a Registered Nurse in Ohio; may be obtained within 90 days of hire.
Current Basic Life Support (BLS) certification from the American Heart Association.
Minimum of 3 years of clinical nursing experience.
Knowledge of pediatric chronic conditions and developmental needs, applied through family-centered, trauma-informed, and culturally competent methods.
Strong clinical assessment, critical-thinking, and motivational interviewing skills, with the ability to manage and prioritize a caseload effectively.
Excellent communication and collaboration skills, with a commitment to quality improvement and cost-effective care delivery.
Proficiency in MS Office (Outlook, Excel, and Word) or similar software.
Proficiency in Epic or similar EMR software.

Nice To Haves

Certification from a nationally recognized care management and/or pediatric nursing organization.
Experience in pediatric, ambulatory, care management, and/or managed care.

Responsibilities

Conduct comprehensive, trauma-informed assessments of pediatric and young adult patients, including medical, behavioral, developmental, and social drivers of health.
Identify high-risk and complex patients using stratification tools aligned with NCQA Complex Care Management (CCM) criteria.
Assess caregiver capacity, health literacy, and barriers to care affecting outcomes.
Analyze assessment data to establish measurable, patient- and family-centered goals aligned with quality and population health metrics.
Develop individualized, evidence-based care plans addressing physical, behavioral, and social health needs while incorporating cultural and family preferences.
Collaborate with interdisciplinary teams and community partners to coordinate preventive, chronic, transitional, and post-acute care services.
Coordinate care across providers and settings and advocate for access to high-quality, cost-effective services.
Educate and coach patients and caregivers to support disease management, medication adherence, and self-care.
Monitor healthcare utilization, treatment adherence, and caregiver engagement to identify intervention opportunities and reduce avoidable utilization.
Participate in interdisciplinary care conferences to promote integrated care delivery and shared accountability for outcomes.
Evaluate patient progress, revise care plans as needed, and support successful program graduation and self-efficacy.
Document assessments and interventions in compliance with organizational policies and regulatory standards, including NCQA CCM, Joint Commission, and the ANA Code of Ethics, while ensuring audit readiness and quality improvement.
Perform other duties as required.