Prevea Health·Sheboygan, Wisconsin
The Registered Nurse Care Manager coordinates and manages the continuum of care for an assigned patient population to optimize health outcomes and resource utilization. This involves implementing evidence-based guidelines, supporting care transitions, and collaborating with various parties to reduce avoidable utilization and improve outcomes.
This position will work 36 hours per week RN Level II (Care Manager)
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Job Summary The Registered Nurse (RN) Care Manager coordinates and manages the continuum of care for an assigned patient population to promote optimal health outcomes, effective resource utilization, and high-quality, patient-centered care. This role implements evidence-based clinical guidelines, supports care transitions, and collaborates with providers, patients, and families to reduce avoidable utilization and improve clinical, financial, and quality outcomes.
What you will do
Coordinates comprehensive care management activities across the continuum, including pre-visit planning, care transitions, follow-up after hospital or emergency department encounters, and collaboration with internal and external care teams.
Educates patients and families on disease management, treatment plans, preventive care, and clinical measurements, reinforcing self-management skills and informed decision-making.
Facilitates efficient care delivery by coordinating multiple clinician visits, diagnostic testing, and services, when possible, while identifying and connecting patients to appropriate insurance, financial, and community resources.
Develops, implements, and evaluates individualized care plans in partnership with patients, families, and providers, establishing treatment goals and addressing barriers to successful outcomes related to medications, appointments, social determinants, and adherence.
Implements standing orders and evidence-based protocols for medication refills, diagnostic testing, preventive services, and disease-specific management, ensuring timely and appropriate care delivery.
Manages transitions of care by reviewing external clinical information, contacting patients post-discharge, coordinating follow-up services, and developing written transition plans when patients move between care settings or providers.
On an as needed basis, prepares and reviews patient charts prior to appointments, conducts clinical triage to determine urgency of care needs, and provides telephonic nursing guidance within established protocols and scope of practice.
Licenses and Certifications
Current Wisconsin RN license (or compact equivalent; nurses must maintain or update their primary state of residence to Wisconsin to ensure continued eligibility under the compact) Upon Hire Required
CPR certification- Basic Life Support for Healthcare Providers certification from an approved program. Upon Hire Required
Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify
Candidates must have graduated from an accredited nursing program and possess a current Wisconsin RN license or compact equivalent, along with CPR certification upon hire. Preferred experience includes 3-5 years in a healthcare clinic setting, and a Bachelor's Degree in Nursing is preferred.
Market context
In Wisconsin, CNA openings are often driven by ongoing staffing needs in hospitals, long-term care, and other patient-care settings. These roles can be competitive because employers may prefer candidates with current state certification, though some will also consider applicants who have completed a 75-hour training program and are awaiting the state exam. Review the AI-summarized requirements and benefits here to save research time, then confirm your certification status and availability before applying.