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Registered Nurse Care Manager - Value Based Care (VBC)

Care Advantage

Henrico, VA • Remote

Full-time

Posted 20 days ago


Care Advantage rating

3.9

Company rating: 3.9 out of 10

Based on 25 frontline employees who took The Breakroom Quiz


Job description

Hybrid/Remote position.  

Make a Bigger Impact-Beyond the Bedside

At Care Advantage, we believe nursing is more than tasks and charts-it's about outcomes, advocacy, and meaningful connections. As a Registered Nurse Care Manager, ValueBased Care, you'll play a critical role in improving health outcomes for highrisk Medicaid members while helping reduce avoidable emergency department visits and hospital readmissions.

This is a role for experienced nurses who thrive on transition care coordination, patient education, and systemlevel improvement-and who want to see their clinical expertise translate into real, measurable impact.

What You'll Do

As an RN Care Manager in ValueBased Care, you'll serve as a clinical advocate and coordinator for a panel of highrisk Medicaid members, partnering with patients, families, caregivers, and interdisciplinary teams to support safe transitions and better longterm outcomes.

Key Responsibilities

Transition Care Coordination & PostDischarge FollowUp

  • Conduct telephonic postdischarge followups for highrisk members
  • Review care plans and historical clinical documentation within EMR and PointClickCare prior to outreach
  • Identify gaps in care, barriers to recovery, and opportunities to prevent readmissions
  • Coordinate next steps with clinical and operations teams to address member needs

Clinical Performance & Quality Improvement

  • Support targeted initiatives tied to healthplan performance measures
  • Monitor and positively influence valuebased contract metrics
  • Identify trends and insights at the member level to drive continuous improvement
  • Set and achieve quarterly performance goals

Education & Advocacy

  • Educate patients, families, and caregivers to support adherence, selfmanagement, and recovery
  • Provide education and insights to internal clinical and operations teams, including populationspecific initiatives (e.g., diabetes management)
  • Serve as a clinical advocate in crossfunctional and external partnerships

Collaboration & Leadership

  • Partner closely with the Senior Vice President of ValueBased Care, Director of Population Health, and the broader VBC team
  • Collaborate with internal and external clinical leaders to improve patient outcomes
  • Create visibility across the organization for highrisk members and their individualized needs

Who We're Looking For

This role is ideal for nurses who enjoy autonomy, critical thinking, and relationshipdriven care-and who are energized by improving outcomes at scale.

Required Qualifications

  • Active Registered Nurse (RN) license in the covered region
  • Minimum 5 years of nursing experience
  • Experience conducting telephonic postdischarge followups
  • Strong clinical judgment, communication, and care coordination skills
  • Candidate must reside in Virginia (prefer Richmond or the surrounding area)

Preferred Qualifications

  • Experience in ValueBased Care, Population Health, Case Management, or Transition Care Coordination
  • Bachelor's degree in nursing or related health field
  • Leadership, management, or program development experience
  • Proficiency in Microsoft Word, Excel, PowerPoint, and Teams

Why Care Advantage?

At Care Advantage, our mission is grounded in our core values:

Integrity • Compassion • Accountability • Respect • Excellence

You'll join a team that values your clinical expertise, supports professional growth, and empowers nurses to influence care beyond individual encounters, helping shape better systems, better experiences, and better outcomes.

Work Environment & Flexibility

  • Combination of clinical coordination, telephonic outreach, and collaboration
  • Regular travel required; occasional overnight or weekend work may be needed
  • Physical requirements include sitting, standing, lifting up to 10 lbs, and general mobility
  • Workplace accommodations are available when appropriate

Ready to Lead Change in Healthcare?

If you're a nurse who wants to reduce readmissions, improve transitions of care, and make valuebased healthcare work for patients, we'd love to meet you.

Apply today and help redefine what nursing impact looks like.

Location: 23111, 23112, 23113, 23114, 23116, 23150, 23173, 23219, 23220, 23221, 23222, 23223, 23224, 23225, 23226, 23227, 23228, 23229, 23230, 23231, 23232, 23233, 23234, 23235, 23236, 23237, 23238, 23294, 23831, 23832


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