RN Nurse Care Manager

HarmonyCares

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

Posted 11/6/2026full-timeCincinnati • Ohio • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in care management for high-risk patients, including developing personalized care plans and coordinating transitions of care. Proficient in clinical assessments, patient education, and effective communication with healthcare teams and patients.

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 ManagementDisease Management EducationMedication EducationTelephone Nursing AssessmentsPatient Care PlansCare Gap ClosureQuality MeasuresValue-Based Care Models

Soft Skills

Effective Communication SkillsProactive ThinkingInterpersonal SkillsTeaching/Training SkillsTime Management

Tools & Technologies

EmailWordExcelPowerPoint

Certifications & Qualifications

Registered Nurse LicenseMulti-State Licensing (if required)

Industry Keywords

High-Risk PatientsCare CoordinationHealth MaintenanceDisease PreventionHome Care StandardsHospice Standards

About the role

Key responsibilities & impact

Manage a caseload of high-risk patients and their care barriers
Provide Transitional Care Management, Chronic Care Management, disease management education, medication education, and develop and manage patient care plans
Serve as co-chair of the pod alongside the pod leader, focusing on prioritizing patient needs and improving outcomes
Coordinate care services with the pod leader throughout patients’ healthcare journeys
Develop and manage personalized care plans, address care gaps, and engage resources to ensure access to care
Coordinate transitions of care 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 care gaps and coordinate services
Perform telephone nursing assessments
Educate patients and caregivers on disease management, medication, health maintenance, and disease prevention
Document interactions, assessments, and updates in medical records
Serve as liaison between patients, providers, and resources
Facilitate communication of 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
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
Excellent interpersonal skills
Excellent written and oral skills
Working knowledge of email, Word, Excel, PowerPoint, and related computer programs
Ability to manage time effectively and complete duties and documentation requirements timely
Bachelor of Science in nursing or related field preferred
May be required to obtain multi-state licensing
Strong knowledge of population health, quality measures, care gap closure and value-based care models preferred

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 with no holidays/weekends