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

About the role

CareTalk Health is seeking experienced and highly organized Registered Nurses to join its 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. The role requires strong clinical judgment, excellent documentation skills, comfort with telehealth workflows, and the ability to work independently across multiple platforms.

Responsibilities

• 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.
  • Ensure documentation meets Medicare, CMS, and organizational 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,