Care Manager - Remote

Title: Care Manager - Remote- Texas/ Illinois/ /Arkansas/ Ohio/ Florida preferred

Reports to: CEO/President

Status: Full-time (Salary/Exempt)

Date created: August 15, 2026

Summary of Position:

The Care Manager is responsible for overseeing and coordinating comprehensive care management services for assigned patients to support improved health outcomes. The Care Manager provides clinical oversight, completes comprehensive patient-centric care plans, care plan revisions, supports care coordinators as needed, ensures appropriate escalation of patient needs, and documents all activities in accordance with organizational and regulatory standards.

Responsibilities:

• Create, review, and update patient-centered care plans based on physical, mental, cognitive, psychosocial, functional, and environmental assessments, along with an inventory of available resources.
• Provide patients with a written or electronic copy of the care plan and document delivery in the medical record.
• Provide Chronic Care Management (CCM) patients with appropriate education materials and resources to support health education, self-management, and lifestyle improvement.
• Identify patients with gaps in preventive health services and assist with scheduling required screenings or diagnostic tests with their providers.
• Review and update patients’ current allergy and medication profiles, assess adherence and potential interactions, and communicate concerns to the patient and providers as appropriate. Support patient self-management of medications within the Care Coordinator scope.
• Engage patients through monthly care plan reviews that promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency department utilization and hospital readmissions. Coordinate care with patients, caregivers, primary care providers, specialists, community resources, behavioral health partners, and other health plan or system departments as appropriate.
• Document all care management activities in the CareVitality Care Management platform, as applicable, including required time reporting, in accordance with CareVitality standards. Identify trends and opportunities for improvement based on patient, provider, and system interactions.
• Health Risk Assessments may be incorporated into the role as program needs evolve.
• Escalate patients requiring reassessment or higher-level intervention in accordance with CareVitality protocols.
• Transitional Care Management Services may need to be provided in any given month as part of the scope of services
• Provide transportation assistance if needed
• May gather patients consent for various care management and remote monitoring programs
• Perform other duties as assigned.