RN Nurse Care Manager

HarmonyCares

. Manage a caseload of high-risk patients and their care barriers .

Posted 11/5/2026full-timeNewark • New Jersey • United StatesJuniorMid-Level💰 $84,647 - $93,175 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management for high-risk patients, including Transitional Care Management and Chronic Care Management, while effectively coordinating care services and educating patients on disease management. Proficient in assessing patient needs and developing care plans to improve health outcomes.

Highest-signal resume keywords

Active Registered Nurse LicenseCare Management ExperienceClinical SkillsKnowledge of Medicare RegulationsPopulation Health Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Transitional Care ManagementChronic Care ManagementNursing AssessmentsPatient Care PlansDisease Management EducationMedication EducationCare Gap ClosureQuality MeasuresTelephone AssessmentDocumentation in Medical Records

Soft Skills

Effective Communication SkillsInterpersonal SkillsProactive ThinkingTeaching/Training SkillsTime Management

Tools & Technologies

EmailWordExcelPowerPoint

Certifications & Qualifications

Registered Nurse LicenseMulti-State Licensing (if required)

Industry Keywords

High-Risk PatientsCare CoordinationHealthcare ContinuumHome Care StandardsHospice StandardsValue-Based Care Models

About the role

Key responsibilities & impact

Manage a caseload of high-risk patients and their care barriers
Perform Transitional Care Management, Chronic Care Management, disease management education, and medication education
Develop and manage patient care plans
Serve as co-chair of the pod alongside the pod leader, prioritizing patient needs to improve outcomes
Coordinate care services with the pod leader and care team
Address care gaps and engage resources to ensure access to care
Coordinate patient transitions across the healthcare continuum and help prevent avoidable hospital admissions
Coordinate and facilitate High Risk Huddles and ensure follow-up actions are completed
Prioritize patients according to condition severity and urgency
Review medical records to identify gaps in care
Regularly update patient care plans
Perform nursing assessments by telephone
Educate patients and caregivers on disease management, medications, health maintenance, and disease prevention
Document interactions, assessments, and updates in medical records
Serve as liaison among patients, providers, and resources
Communicate patient status and care plans during transitions between home, hospital, post-acute care, and home

Requirements

What you’ll need

Active Registered Nurse License
2+ years of care management experience in community, health plan or hospital systems
Possesses strong clinical skills and proactive thinking
Effective communication skills
Ability to perform extensive telephone assessment
Knowledge of Medicare regulations and home care and hospice standards
Experience with small group presentations and teaching/training
Exhibits excellent interpersonal skills
Exhibits excellent written and oral skills
Working knowledge of computer programs (email, Word, Excel, PowerPoint, etc.)
Manages time effectively to ensure all duties and documentation requirements are completed in a timely manner
May be required to obtain multi-state licensing
Strong knowledge of population health, quality measures, care gap closure and value-based care models

Benefits

Comp & perks

Quarterly Bonuses
Health, Dental, Vision, Disability & Life Insurance
401K Retirement Plan (with company match)
Tuition, Professional License and Certification Reimbursement
Paid Time Off, Holidays and Volunteer Time Paid
Orientation and Training Day Time Hours (no holidays/weekends)