Telephonic Nurse Care Manager

Accountabilities:: Conduct comprehensive telephonic and virtual nursing assessments, reviewing patient health status and interpreting biometric, remote patient monitoring (RPM), and IVR data to identify trends and potential concerns. Develop, implement, and regularly adjust individualized nursing care plans based on patient needs, personal goals, evidence-based practices, and established clinical protocols. Use Motivational Interviewing techniques to encourage healthy behavior changes, treatment adherence, and greater patient engagement in self-management. Identify clinical risks, changes in patient condition, and urgent situations, escalating concerns promptly in accordance with clinical guidelines. Coordinate care with internal and external interdisciplinary teams, including arranging referrals and supporting transitions across the care continuum. Deliver proactive nursing interventions designed to improve clinical outcomes, reduce preventable hospitalizations and emergency department visits, and lower overall care costs. Maintain accurate, timely, and comprehensive documentation of all patient interactions and care management activities in the electronic health record (EHR). Participate in quality improvement initiatives, chart audits, and performance reviews to strengthen clinical quality and patient outcomes. Complete care management activities in accordance with client-specific workflows, performance expectations, and service-level requirements. Maintain compliance with applicable clinical, regulatory, HIPAA, and organizational standards. Requirements: Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited college or university; a BSN is preferred. Active, unrestricted Registered Nurse (RN) license. Compact Nursing Licensure (NLC) and/or California RN license, depending on the assigned position. At least 5 years of broad clinical nursing experience. At least 3 years of experience in one or more of the following areas: care management, care coordination, home health, transitions of care, telehealth, virtual care, or chronic disease management. Clinical experience managing conditions such as cardiac, pulmonary, and endocrine disorders is valuable. Strong clinical assessment, critical-thinking, and decision-making skills, particularly in remote care settings. Excellent verbal and written communication skills, with the ability to build effective relationships with patients, caregivers, colleagues, and clients. Strong organizational and time management abilities, including the capacity to prioritize competing responsibilities and manage patient needs effectively. High level of accountability for patient safety, care quality, and clinical outcomes. Ability to work independently while collaborating effectively with distributed, interdisciplinary teams. Strong computer proficiency, including EHR documentation, navigating multiple technology platforms, and troubleshooting basic technical issues. Flexibility to work assigned time zones and schedules according to client needs. Ability to maintain a private, quiet, secure, and distraction-free home office with reliable high-speed internet. Comfort with extended periods of sitting and performing computer-based tasks. Benefits: Competitive compensation. Comprehensive employee benefits package. Fully remote, home-based work environment. Opportunity to work with virtual care and remote patient monitoring technologies. Mission-driven and collaborative culture focused on innovation and patient impact. Opportunities for professional growth and development.