Care Manager, Registered Nurse (Remote)

Job Description:

Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.

The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes.

The Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of the care plan.

Schedule: Monday – Friday, 8am – 5pm ET

Training: First 6 weeks from 9am-5:30 EST. To ensure a smooth onboarding experience, we ask that new hires commit to full attendance during the first six weeks of employment, as this period includes a structured training schedule. Any time-off requests during this time will be reviewed on a case-by-case basis and are subject to approval.

Salary: $85,000 annually, plus comprehensive benefits package

Essential Job Functions:

• Engage telephonically with members, caregivers, and providers to develop a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum.
• Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans.
• Assess the member’s ongoing care needs and progress towards goals throughout the plan duration and make revisions as needed to address changes in the member’s condition, lack of progress toward goals of the care plan, preference changes, and transitions in care settings. Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage.
• Coordinate patient education in support of standards of care guidelines and related health issues using the most appropriate modality for the member.
• Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need.
• Assist the member in coordination of any additional tests, images and consults with specialists.
• Perform medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/side effects.
• Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare needs change. Implements and oversees the agreed upon plan of care as well as coordinates member follow-up post discharge.
• Utilize established documentation standards to maintain quality of care plan documentation to include member progress toward their established state of being and barriers to achievement of care plan objectives and outcomes.
• Abide by Value Based Care Management Program Description and Guidelines.
• Meet productivity and quality metrics as outlined by leadership for each year.
• Complete mandatory training and annual competency testing.
• Actively participate in team huddles and contribute to clinical learning.
• Remain current on clinical knowledge via self-directed learning.

Specific Skills/ Attributes:

• Strong motivational interviewing and case management skills.
• Ability to be self-directed, highly organized, multi-task capable, and proficient in pro