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← Upward Health

Nurse Care Manager

Upward Health
Location
Arizona, United States
Posted
20 days ago
Department
Field Operations
What they actually want (must-haves)
  • Active unrestricted RN license in the state of California
  • Minimum of 3 years of clinical experience, preferably in care management, utilization review, quality review, documentation review, or managed care
  • Strong understanding of care planning, chronic disease management, behavioral health documentation, social needs documentation, and CMS compliance requirements
  • Ability to review electronic health records, identify clinically relevant information, and synthesize findings into a complete care plan
  • Proficiency in electronic health records and care management platforms
  • Excellent written communication skills and strong attention to detail
Nice to have
  • Experience with Medicare Advantage, D-SNP, or CMS-regulated documentation
What the job really is

The Nurse Care Manager at Upward Health is responsible for reviewing electronic health records to create compliant care plans for patients enrolled in a Dual Eligible Special Needs Plan. This remote role involves analyzing clinical, behavioral, and social health information without direct patient interaction, ensuring that care plans meet CMS requirements and internal quality standards. The position requires managing a high volume of care plans while maintaining accuracy and compliance.

Things to weigh
  • No salary listed
  • Role requires a high volume of work (minimum of 300 care plans per week) which may indicate a demanding workload
  • Remote work flexibility is available, but must be present during normal business hours for meetings and collaboration
Job score2.6/5
Benefits1/5
Freshness4/5
Career value4/5
Role clarity4/5
Pay transparency0/5

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