RN Care Manager – Complex Care & High Utilizer Management

CENTERLIGHT

RN Care Manager providing comprehensive management for patients with high utilization of healthcare services. Collaborating with medical and behavioral health teams for effective chronic disease management.

Posted 5/30/2026full-timeRemote • New York • 🇺🇸 United StatesMid-LevelSenior💰 $100,000 - $115,000 per yearWebsite

About the role

Key responsibilities & impact

Deliver ongoing care, support, and health education to participants with chronic illnesses including COPD, Diabetes, Heart Failure, cardiovascular disease, and degenerative neurological or musculoskeletal disorders.
Collaborate closely with medical providers, behavioral health specialists, and operational leaders to develop and implement strategies that reduce avoidable utilization.
Conduct clinical reviews using evidence-based criteria to ensure appropriateness of care for chronic disease–related needs.
Monitor utilization patterns and proactively engage participants to reduce unnecessary, repetitive, or avoidable service use.
Support participants in navigating the healthcare system and reinforce chronic-condition self-management practices.

Requirements

What you’ll need

BSN required
Current Registered Nurse (RN) license in New York State
Certification in Case Management (CCM) or equivalent, preferred
3+ years of clinical experience in chronic disease management, care coordination, or case management
Experience working with high‑risk, medically complex, or high‑utilizing populations
Strong assessment, communication, and interdisciplinary collaboration skills
Experience in PACE, MLTC, Managed Care, or high‑risk care management preferred
Prior experience with behavioral health integration or complex psychosocial case management preferred.

Benefits

Comp & perks

Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

chronic disease managementcare coordinationcase managementclinical reviewsevidence-based criteriahealth educationutilization monitoringself-management practicesbehavioral health integrationpsychosocial case management

Soft Skills

assessmentcommunicationinterdisciplinary collaboration

Certifications

BSNRegistered Nurse (RN) licenseCertification in Case Management (CCM)