Registered Nurse – Care Management (Remote) (Evening & Overnight Schedule)

Job Title: Registered Nurse – Virtual Care Care Management (Remote) Location: 100% Remote Employment Type: Full-Time W2 Hourly

Compensation

: $35 per hour Compact Multi-State Licensure Required CareTalk Health is a virtual medical practice that specializes in Clinical Process Outsourcing (CPO). We partner with healthcare organizations to build and manage patient and member populations.

40 hours per week Evening Shift : 2:30 PM - 11:00 PM EST Night Shift: 11:00 PM - 7:30 AM EST Weekend Requirement: All shift options include every other Saturday and Sunday Rotating holidays

: $35.00/hour

About The Role

CareTalk Health is seeking experienced and highly organized Registered Nurses to join our virtual care team. This fully remote role blends care management, care navigation, and Annual Wellness Visit (AWV) chart preparation, supporting providers in delivering comprehensive, compliant, and patient-centered care. The RN Care Manager will manage medically complex patients, develop and monitor care plans across multiple programs (CCM, RPM, RTM, APCM), complete AWV chart preparation, and actively work to close care gaps, coordinate orders, and support preventive and chronic care initiatives.

This role requires strong clinical judgment, excellent documentation skills, comfort with telehealth workflows, and the ability to work independently across multiple platforms.

What You’Ll Do

Annual Wellness Visit (AWV) Chart Preparation · Prepare comprehensive AWV charts to support provider efficiency and CMS compliance. · Review and summarize with patients in face-to-face virtual visits via Zoom: · Medical, surgical, and family histories · Medication lists and adherence · Preventive screenings and immunizations · Cognitive, functional, and depression assessments · Identify overdue screenings, risk factors, and care gaps prior to visits. · Communicate concise patient summaries and key findings to providers before each AWV.

· Coordinate with patients to obtain missing or clarified information as needed.

Requirements

Care Management Clinical Oversight · Provide telephonic and portal-based care management for medically complex patients with chronic, behavioral health, and socio-economic comorbidities. · Conduct comprehensive nursing assessments addressing: · Physical, functional, psychological, social, environmental, and learning needs · Develop, implement, and monitor individualized care plans for: CCM, RPM, RTM, and APCM · Complete care plan creation and annual updates for APCM, including goal-setting, interventions, and progress tracking. · Utilize motivational interviewing to engage patients and caregivers in care planning and adherence.

· Monitor patient progress, reassess goals, identify barriers, and adjust care plans as needed. · Communicate patient status and care plan updates to primary care providers and interdisciplinary care teams. · Provide patient education, coaching, and support aligned with health literacy and cultural needs.

· Act as a patient advocate and assist with problem-solving and escalation when appropriate. Care Navigation Gap Closure Actively work in care navigation to: · Identify and close care gaps (preventive screenings, labs, medications, follow-ups). · Coordinate and facilitate orders, referrals, and follow-up actions as needed.

· Monitor service delivery to ensure appropriateness, avoid duplication, and meet patient needs. · Coordinate care across multiple services and providers to ensure continuity and quality. Documentation, Quality Compliance · Maintain accurate, timely, and confidential patient records.

· Utilize electronic health record systems (CT360, RXNT, Zoom) and telehealth platforms effectively. · Measure and support outcomes related to clinical quality, patient engagement, and satisfaction. · Adhere to HIPAA, CMS, and organizational compliance standards.