Care Manager (RN)

Spectraforce Technologies

United States, North Carolina, Raleigh

500 West Peace Street (Show on map)

Jun 24, 2025

Position Title: Care Manager (RN)

Work Location: Remote US (except CA)

Assignment Duration: 6 months potential to extend to convert

Work Arrangement: Remote 9:30AM-6PM EST

Position Summary: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

To facilitate with ScriptMed cloud (a new Operating System) training and implementation.

Key Responsibilities:

Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.
Take inbound and make outbound calls.
Work collaboratively with other departments and the physician's office to ensure best patient outcomes.
Manage emails, messages, and trainings daily.

Participate in trainings and meetings as needed.

Qualification & Experience:

Candidate Requirements
Education/Certification	Required: Associate's degree in nursing	Preferred:
Licensure	Required: Current State's RN license	Preferred:
Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Nice to haves: Strong communication skills, Proficient technology skills. Disqualifiers: Performance indicators: Must be able to manage daily tasks with a high quality of work. - Goals will be given to the candidate to help them work towards the department's expectations for success.
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.
2	Knowledge of utilization management principles and healthcare managed care.
3