RN Care Manager

trüHealthNow • Full-time • Centerville, MD, US • $0 - $82k / year • 1d ago

Company Overview

truHealthNow is a modern primary care company focused on humanizing healthcare for all. We are based in Maryland and Virginia, and strive to provide the best care for our communities with kindness and compassion.

Our primary cares are designed to serve as a medical hub (with behavioral and dietary health services) for individuals to live healthy.

We are seeking a compassionate, detail-oriented, and clinically skilled Registered Nurse (RN) to join our Care Management team. This remote position will focus on coordinating patient care, supporting chronic disease management, facilitating transitions of care, and helping patients navigate the healthcare system.

Registered Nurse (RN) – Care Management

Position Summary

The Registered Nurse – Care Management will work collaboratively with providers, clinical staff, patients, caregivers, and community resources to promote continuity of care and improve patient outcomes. The RN will help identify patients who require additional clinical support, coordinate follow-up care, monitor patient progress, and support adherence to treatment plans.

The ideal candidate will have strong clinical judgment, excellent communication skills, and the ability to manage multiple patients needs independently in a remote healthcare environment.

Key Responsibilities

Conduct patient outreach and follow-up call to assess health status, care needs, and progress toward treatment goals.
Coordinate care for patients with chronic conditions, complex medical needs, or frequent healthcare utilization.
Support chronic disease management and patient education for conditions such as diabetes, hypertension, asthma, and other ongoing health concerns.
Review patient care plans and reinforce provider recommendations, medication adherence, preventive screenings, and follow-up appointments.
Perform medication reconciliation and identify potential medication-related concerns for appropriate clinical follow-up.
Coordinate post-discharge follow-up and transitions of care following emergency department visits or hospitalizations.
Identify gaps in care and assist with coordinating referrals, diagnostic testing, specialist appointments, and preventive services.
Collaborate with primary care and urgent care providers to communicate clinical concerns and coordinate appropriate next steps.
Identify barriers to care, including transportation, access to medications, financial challenges, and social support needs, and connect patients with appropriate resources.
Monitor patient progress and escalate changes in symptoms or clinical concerns to the appropriate provider in a timely manner.
Document patient assessments, outreach activities, care plans, interventions, and outcomes accurately in the electronic health record or designated care management system.
Assist with developing and updating individualized care management plans based on patient needs and provider recommendations.
Support patient engagement, preventive care initiatives, quality improvement activities, and other population health programs as assigned.
Maintain patient confidentiality and comply with HIPAA requirements, applicable nursing regulations, and organizational policies.
Participate in team meetings, training, and ongoing care management initiatives.

Qualifications

Active, unrestricted Registered Nurse (RN) (Compact) license in Maryland required; additional state licenses may be required based on the patient population served.
Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited nursing program.
Previous experience in care management, case management, ambulatory care, population health, chronic disease management, or utilization management preferred.
Experience in primary care, urgent care, hospital discharge planning, or care transitions is a plus.
Strong clinical assessment, critical-thinking, and patient education skills.
Excellent written and verbal communication skills.
Ability to work collaboratively with providers, clinical teams, patients, caregivers, and community organizations.
Proficiency with electronic health records, Microsoft Office, and other digital healthcare platforms.
Strong organizational skills, attention to detail, and the ability to manage multiple patient cases and follow-up tasks.
Ability to work independently and maintain productivity in a remote environment.
Knowledge of HIPAA, patient privacy, and clinical documentation standards.

Preferred Qualifications

Experience supporting patients with multiple chronic conditions or complex care needs.
Experience with value-based care, population health management, quality metrics, or risk-based care programs.
Case Management certification (CCM) or related certification is a plus.
Experience with telephonic care management, patient navigation, and care coordination workflows.

Work Environment

Full-time remote position till Jan. In person after Jan, 2027.
Reliable internet connection and a private, HIPAA-compliant workspace required.
Regular communication with providers and clinical staff through phone, video conferencing, and electronic systems.
Ability to manage patient outreach schedules, documentation, and follow-up activities independently.
Occasional in-person meetings or travel may be required if applicable to the role.

Why Join truHealthNow?

Opportunity to make a meaningful impact on patient health outcomes.
Work collaboratively with a multidisciplinary healthcare team.
Help improve continuity of care and access to healthcare services.
Contribute to proactive chronic disease management and preventive care initiatives.
Remote work environment.

Employment Type: Full-Time

Pay: Up to $82,000.00 per year

Benefits: