Care Manager, Registered Nurse- Remote

Job Description:

Job Summary:

• Start Date: Monday May 5, 2025
• Salary: $85,000 annually, plus comprehensive benefits package

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com.

Job Summary:

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 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.

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 problem solving skills.
• Ability to meet established deadlines.
• Exceptional oral, written, and presentation skills.
• Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.
• Successfully partner with all levels of administrative and professional personnel.
• Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.
• Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personaliti