RN Care Manager

IMH

. Work with Select Health members, families, caregivers, and a multidisciplinary care team .

Posted 9/18/2026full-timeRemote • Utah • United StatesJunior💰 $41 - $62 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care management, including the development and implementation of individualized care plans that address diverse patient needs. Proficient in coordinating multidisciplinary teams and ensuring compliance with healthcare standards and regulations.

Highest-signal resume keywords

Registered Nurse LicenseCare Management ExperienceClinical Nursing ExpertiseCase Management CertificationAdvanced Microsoft Suite Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Care Plan DevelopmentPatient EducationHealth Outcome ImprovementUtilization ManagementDischarge PlanningBehavioral Health NavigationQuality AssuranceChronic Condition ManagementEvidence-Based PracticeDocumentation Compliance

Soft Skills

Strong Communication SkillsConflict ResolutionSelf-MotivationPositive AttitudeFlexibility

Tools & Technologies

Electronic Health RecordsMicrosoft TeamsMicrosoft OutlookMultiple Monitor SetupInternet Troubleshooting

Certifications & Qualifications

Case Management CertificationBSN (Bachelor of Science in Nursing)

Industry Keywords

NCQA StandardsCMS RegulationsState EQRO StandardsThird-Party PayersAmbulatory CareCommunity HealthHome Care

About the role

Key responsibilities & impact

Work with Select Health members, families, caregivers, and a multidisciplinary care team
Assess, plan, facilitate, navigate, coordinate, evaluate, and advocate for members' medical, behavioral, and social needs
Improve health outcomes for patients with chronic conditions or complex needs
Educate patients and caregivers to manage healthcare needs
Facilitate communication and coordinate services
Address barriers and promote clinical quality and cost-effective resource allocation
Develop, document, and implement individualized care plans addressing social, physical, mental, emotional, spiritual, and supportive needs
Identify members needing additional assistance and enroll and follow them in longitudinal care management services
Apply established care models and program policies to assess, establish, and maintain plans of care
Ensure care plans are evidence-based and consistent with referral goals, payer contracts, and established care processes
Maintain case records and document events and progress according to NCQA, CMS, and State EQRO standards
Coordinate communication among members, families, healthcare teams, payers, Sales Team, Employer Groups, and other relevant parties
Contact patients at prescribed intervals to assess progress toward goals
Determine variances and refer patients to a more comprehensive level of care when indicated

Requirements

What you’ll need

Current license to practice as a Registered Nurse in the state of residence
If the primary state of residence is part of the Nurse Licensure Compact, a compact state license must be obtained within 60 days of hire
If assigned to a non-compact state, a single-state license must be obtained within 60 days of hire
Demonstrated experience and expertise working in clinical nursing
Minimum 1 year of experience in care management/navigation or a closely related field, including Utilization Management, discharge planning, managed care, health promotion, health coaching, behavioral health, quality, or patient educator roles
Strong written and verbal communication and conflict resolution skills
Intermediate computer software and hardware skills
Ability to customize computer settings, use multiple monitors, and independently troubleshoot internet and applications
RNs hired or promoted into this role must have or obtain a BSN within three years of hire or promotion
Preferred: Bachelor's degree in nursing from an accredited institution
Preferred: Case Management Certification
Preferred: Three years of clinical nursing experience in ambulatory care, community health, or home care
Preferred: Experience working with third-party payers
Preferred: Experience working successfully in a remote environment or using Advanced Microsoft Suite, including Teams and Outlook
Ability to work independently and flexibly in a rapidly changing environment
Ability to be self-motivated and maintain a positive attitude
Ongoing ability to see and read information, documents, monitors, equipment, and supplies
Ability to verbally communicate and hear and understand spoken information quickly and accurately
Manual dexterity to manipulate complex and delicate equipment
Frequent computer use for typing and accessing information
Ability to sit or stand in a stationary position for a long time

Benefits

Comp & perks

Generous benefits package covering programs for wellness, including living healthy, happy, secure, connected, and engaged
Company equipment for remote work
Remote work expectations and support related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment