Care Manager (RN)

Care Manager (RN)

BCforward is currently seeking a highly motivated Care Manager (RN) for an opportunity in Remote-IN!

Position Title: [Care Manager (RN)]

Location: [Remote-IN]

Anticipated Start Date: [05/12/2025]

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: [12 Months Contract]

Job Type: [FULL TIME (>%3D30 HRS WEEKLY)/PART TIME (<30 HRS WEEKLY)], [CONTRACT], [REMOTE]

Pay Range: [$45] - [$48.09]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

• 2-4 years of related experience, with OB experience (prenatal, postpartum, labor/delivery, mother-baby, or NICU) strongly preferred.
• Active Registered Nurse License in Indiana or Compact State Licensure.

Job Description:

Position Purpose

The Care Manager (RN) is responsible for assessing, developing, and facilitating care management activities for members with primarily physical health needs. This includes high-risk OB (obstetric) members, ensuring high-quality and cost-effective health outcomes through comprehensive and personalized care plans, education, and coordination of services.

Key Responsibilities

• Evaluate member needs, identify barriers to care, and address Social Determinants of Health.
• Develop, monitor, and revise member-centered care plans in collaboration with providers and caregivers.
• Provide telephonic and digital outreach to engage members and assess health status.
• Coordinate services and ensure timely access to appropriate healthcare providers and community resources.
• Educate members and caregivers on healthcare conditions, benefits, and self-management strategies.
• Maintain accurate documentation to ensure compliance with state, federal, and organizational regulations.
• Participate in interdisciplinary care rounds and provide performance feedback to leadership.
• Meet a caseload target of 50 members with a minimum of 5 new enrollments per month.
• Ensure quality charting that meets NCQA standards (monthly audits ≥94% compliance).

Qualifications

Education/Experience

• Degree from an accredited School of Nursing or a Bachelor's degree in Nursing required.
• 2-4 years of related experience, with OB experience (prenatal, postpartum, labor/delivery, mother-baby, or NICU) strongly preferred.

Licensure/Certification

• Required: Active Registered Nurse License in Indiana or Compact State Licensure.

Skills & Competencies

Top Must-Have Skills (Ranked):

Proficiency in Microsoft programs (Teams, Outlook, Word).

Strong organizational skills; ability to manage task lists and caseload independently.

Team-oriented and highly motivated to deliver quality care in a remote setting.

Additional Qualities:

• Strong communication and interpersonal skills.
• Ability to navigate and connect members to local community resources.
• Capable of working in a fast-paced, metrics-driven environment.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

Keywords:

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About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 237432 when responding to this ad.

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