RN Care Manager – I

IMH

. Work with Select Health members, families, caregivers, and multidisciplinary care teams through assessment, planning, facilitation, navigation, coordination, evaluation, and advocacy .

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

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in care management and coordination, focusing on developing and implementing individualized care plans for patients with chronic conditions. Proficient in communication and collaboration with multidisciplinary teams to optimize patient outcomes and resource allocation.

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 EducationUtilization ManagementDischarge PlanningHealth PromotionBehavioral HealthQuality ImprovementComplex Needs AssessmentEvidence-Based PracticeNCQA Documentation

Soft Skills

Strong Communication SkillsConflict ResolutionFlexibilityIndependent WorkTeam Collaboration

Tools & Technologies

Microsoft TeamsMicrosoft OutlookComputer Software TroubleshootingMultiple Monitor Setup

Certifications & Qualifications

Case Management CertificationBSN (Bachelor of Science in Nursing)

Industry Keywords

Chronic ConditionsMultidisciplinary Care TeamsPayer ContractsRemote Work ExperienceAmbulatory CareCommunity HealthHome CareNCQACMSState EQRO Requirements

About the role

Key responsibilities & impact

Work with Select Health members, families, caregivers, and multidisciplinary care teams through assessment, planning, facilitation, navigation, coordination, evaluation, and advocacy
Improve the health of patients with chronic conditions or complex needs
Educate patients and caregivers to help them manage healthcare needs
Facilitate communication and coordinate services among members, families, providers, healthcare teams, payers, Sales Team, and Employer Groups
Address barriers and promote optimal allocation of resources while balancing clinical quality and cost management
Develop, document, and implement individualized care plans addressing social, physical, mental, emotional, spiritual, and supportive needs
Identify members needing complex 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 requirements
Contact patients at prescribed intervals to evaluate 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
Compact state license within 60 days of hire if the primary state of residence is part of the Nurse Licensure Compact
Single-state license for assigned non-compact state(s) within 60 days of hire, as applicable
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 education
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 (BSN) 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 be flexible in a rapidly changing environment
Demonstrated excellent written and verbal communication skills
Ongoing ability to see and read information, documents, monitors, equipment, and supplies
Ability to verbally communicate, hear, and understand spoken information, needs, and issues quickly and accurately
Manual dexterity to manipulate complex and delicate equipment
Ability to sit or stand in a stationary position for a long time

Benefits

Comp & perks

Generous benefits package covering programs for living healthy, happy, secure, connected, and engaged
Company equipment and remote work support referenced in remote work expectations