Care Manager (RN)

Position Title: Care Manager (RN)

Work Location: Remote (North East - Medina, Cuyahoga, Lake Lorain, Geauga, portage, wayne, summit)

Assignment Duration: 6 months (Possibility to extend or convert)

Work Schedule: Monday-Friday 8 AM - 5 PM EST

Training Schedule: Monday-Friday 8a-5p EST - 4 weeks training - classroom & 1on1 - virtual - CAMERAS ON - NO TIME OFF during training

Work Arrangement: Remote (Member-facing - In field about 50-60% of the time - individual can determine the days in field and manage their own schedule)

The rest of the time will be documentation from home

Reimbursed for mileage

Position Summary:

The purpose of this team is to provide comprehensive case management services to MyCare waiver members living in the community. The team ensures members receive the appropriate level of support, care coordination, and advocacy needed to maintain safety, independence, and quality of life across medical, behavioral, and social domains.

Background & Context:

Managing increasing MyCare waiver membership and ensuring timely outreach and assessments Improving quality metrics through proactive care coordination and care plan adherence Enhancing member engagement, especially among hard-to-reach or high-risk individuals Supporting transitions of care, such as hospital discharges, skilled nursing placements, or changes in service needs Partnering with providers and community agencies to close gaps in care, address social determinants, and secure needed supports

Key Responsibilities:

• Conducting outreach, assessments, and care planning for MyCare waiver members, ensuring care is coordinated across medical, behavioral, and LTSS needs.
• Coordinating services and collaborating with providers, waiver service coordinators, and interdisciplinary partners to ensure continuity of care, including transitions between levels of care.
• Monitoring member needs, evaluating progress toward care plan goals, and adjusting services as new needs arise.
• Participating in care conferences and reviewing cases that require elevated attention or troubleshooting-especially those impacted by staffing transitions or complex care needs.
• Documenting all activities thoroughly in TruCare/other care management systems to ensure accuracy, compliance, and proper communication across teams.
• Collaborating with internal partners (AAA, authorization teams, supervisors) when member issues escalate or require multidisciplinary problem-solving

Qualification & Experience:

• Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience
• Bachelor's degree in Nursing preferred
• RN Licensure in OH
• 2-4 year in home care, case management or equivalent, behavioral health. reliable vehicle for weekly travel
• Inability to work independently, manage change well, position longevity (state if contract role)
• Someone who works well independently, personable, strong communication skills. Someone who can think critically, be flexible, open to change, and can also work well on a team.
• Communication skills, Critical thinker, problem solver.
• Computer Basic Technical Skills A MUST knowledge of Microsoft Excel, Word, Team, Outlook, One note, One Drive, Powerpoint, Explorer, Chrome,
• Works well independently, troubleshooting
  
  
  
  
  
  

  Education/Certification	Required: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4-6 years of related experience	Preferred: Bachelor's degree in Nursing preferred
  Licensure	Required: RN Licensure in OH	Preferred:
  Years of experience required: 2-4 year in home care, case management or equivalent, behavioral health. reliable vehicle for weekly travel Disqualifiers: Inability to work independently, manage change well, position longevity (state if contract role), Additional qualities to look for: Someone who works well independently, personable, strong communication skills. Someone who can think critically, be flexible, open to change, and can also work well on a team.
  Top 3 must-have hard skills stack-ranked by importance	1	Communication skills, Critical thinker, problem solver.
  2	Computer Basic Technical Skills A MUST knowledge of Microsoft Excel, Word, Team, Outlook, One note, One Drive, Powerpoint, Explorer, Chrome,
  3	Works well independently, troubleshooting