Registered Nurse Care Manager - Value Based Care (VBC)

**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, Value‑Based Care, you'll play a critical role in improving health outcomes for high‑risk 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 system‑level improvement-and who want to see their clinical expertise translate into real, measurable impact. **What You'll Do** As an RN Care Manager in Value‑Based Care, you'll serve as a clinical advocate and coordinator for a panel of high‑risk Medicaid members, partnering with patients, families, caregivers, and interdisciplinary teams to support safe transitions and better long‑term outcomes. **Key Responsibilities** **Transition Care Coordination & Post‑Discharge Follow‑Up** - Conduct telephonic post‑discharge follow‑ups for high‑risk 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 health‑plan performance measures - Monitor and positively influence value‑based 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, self‑management, and recovery - Provide education and insights to internal clinical and operations teams, including population‑specific initiatives (e.g., diabetes management) - Serve as a clinical advocate in cross‑functional and external partnerships **Collaboration & Leadership** - Partner closely with the Senior Vice President of Value‑Based 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 high‑risk members and their individualized needs **Who We're Looking For** This role is ideal for nurses who enjoy autonomy, critical thinking, and relationship‑driven 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 post‑discharge follow‑ups - Strong clinical judgment, communication, and care coordination skills - Candidate must reside in Virginia (prefer Richmond or the surrounding area) **Preferred Qualifications** - Experience in Value‑Based 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 readmis…