Registered Nurse Care Manager - Value Based Care (VBC)
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
- 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
- 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
- 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
- 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 include:
- 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 include:
- 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
- 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
Why Care Advantage?
At Care Advantage, our mission is grounded in our core values: Integrity, Compassion, Accountability, Respect, and 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
Ready to Lead Change in Healthcare?
If you're a nurse who wants to reduce readmissions, improve transitions of care, and make value-based healthcare work for patients, we'd love to meet you. Apply today and help redefine what nursing impact looks like.