Senior RN Care Manager - Remote

Prime Therapeutics • Home, WV

1d • $66,000 - $106,000 • Remote

About The Position

The Sr RN Care Manager plays a critical role in delivering comprehensive, person-centered care by conducting clinical assessments and reassessments, developing and monitoring individualized care plans, and providing ongoing patient education and therapy-specific counseling. This role ensures seamless coordination among patients, caregivers, providers, and specialty pharmacy partners to support optimal treatment outcomes throughout the patient’s care journey.

Requirements

• Bachelors degree in Nursing or equivalent combination of education and/or relevant work experience
• Registered Nurse License or Compact State Licensure
• 5 years clinical experience as a Registered Nurse (RN)
• Must be eligible to work in the United States without the need for work visa or residency sponsorship
• Skilled in adapting communication strategies to accommodate cognitive or language barriers, ensuring effective engagement with diverse populations
• Exceptional organizational and time management abilities, with a proven capacity to prioritize and manage caseloads efficiently in dynamic environments
• Able to work independently while thriving in collaborative team settings, contributing to shared goals and cross-functional initiatives
• Proficient in applying evidence-based clinical guidelines to support effective care planning and decision-making
• Strong knowledge of care management principles and person-centered care planning, with a focus on holistic, individualized approaches
• Familiarity with complex disease processes and specialty medications, particularly in managing chronic or high-acuity conditions

Nice To Haves

• Certified Case Manager (CCM)
• Demonstrated experience in care management, case management, or disease management, including coordination of community-based support services and utilization of durable medical equipment

Responsibilities

• Manage patient caseloads, conduct initial and follow-up assessments, and apply risk stratification to guide outreach and care team interventions
• Serve as the primary point of contact for patients enrolled in specialty care and support quality improvement initiatives such as reporting on adherence, compliance, patient safety and satisfaction
• Develop, implement, and monitor specialty patient care plans, setting measurable goals and promoting patient self-management
• Oversee Risk Evaluation and Mitigation Strategy (REMS) drug safety program requirements for designated medications, ensuring patient compliance and escalating non-adherence as needed
• Ensure continuity of care for newly enrolled patients by identifying needs, aligning care plans, and prioritizing treatment goals
• Assess patient needs and coordinate services while ensuring clear communication among patients, caregivers, providers, and community resources
• Document assessment outcomes, care planning, and clinical escalations accurately and timely, ensuring compliance with regulatory standards
• Must have flexible working hours
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level