Job Description

Job Description

Job Description

Chronic Care Manager (RN)

Vitability Health of New Jersey
Remote Position

At Vitability Health of New Jersey, we believe great care goes beyond checklists and charts—it’s about relationships, trust, and walking alongside patients as they navigate life with chronic conditions. Our mission is to improve quality of life through thoughtful, personalized care that meets patients where they are and supports them every step of the way.

We are looking for a compassionate and experienced Chronic Care Manager (RN) who is passionate about caring for patients over the long term. In this role, you will build meaningful relationships with patients, help them better understand and manage their health, and serve as a steady, trusted presence in their care journey.

This position is ideal for a nurse who values connection, collaboration, and purpose—and who enjoys using clinical expertise to make a real difference, all while working remotely.

• Provide ongoing chronic care management to a caseload of patients living with multiple chronic conditions

• Develop and maintain personalized care plans that reflect each patient’s goals, challenges, and needs

• Conduct comprehensive assessments to understand medical, social, and lifestyle factors affecting health

• Monitor patient progress, identify changes early, and adjust care plans to support better outcomes

• Educate and encourage patients and their families on disease management, medications, and healthy lifestyle choices

• Use telehealth and remote monitoring to stay connected with patients between visits

• Partner with Care Navigators (social workers) by delegating tasks and supporting their work to ensure seamless, high-quality care

• Collaborate with providers and interdisciplinary team members to promote continuity and alignment across care

• Support medication reconciliation and help patients feel confident in understanding their treatment plans

• Assist with coordinating appointments, tests, and follow-ups to reduce barriers to care

• Help patients access community resources and support services that enhance overall well-being

• Work proactively to reduce hospital readmissions and emergency department visits through consistent engagement

• Maintain clear, timely, and compliant documentation in the EHR in accordance with HIPAA and CMS guidelines

• Track patient outcomes and quality measures to help strengthen and grow our care management programs

• Stay informed on best practices and evolving standards in chronic care management

• Active Registered Nurse (RN) license in New Jersey or a valid Compact RN License

• Experience in Chronic Care Management (CCM)

• Required acute care nursing experience

• A caring, patient-centered approach with a genuine desire to support patients over time

• Strong communication and organizational skills

• Ability to lead and collaborate with care coordinators in a supportive, team-oriented way

• Comfort using EHR systems, telehealth platforms, and remote patient monitoring tools

• Ability to work independently while staying connected to a collaborative care team

  Love this direction. This is exactly where you win great nurses back to meaningful work.

  Why Vitability Health

  At Vitability Health, we care deeply about our patients—and just as deeply about the people who care for them. We’ve intentionally built a work environment that values balance, trust, and sustainability, so our nurses can do their best work without sacrificing their well-being.

  Here’s what you can expect:

  • Fully Remote Work
    Work from the comfort of your home—no commute, no traffic, and no unnecessary stress. We believe great care can happen anywhere.

  • True Work/Life Balance
    This role follows a strict 9:00–5:00 schedule with no nights, weekends, and very limited on-call expectations . When your workday ends, your time is yours.

  • Paid Holidays Off
    We observe major holidays so you can rest, recharge, and spend meaningful time with family and loved ones.

  • Paid Time Off (PTO)
    PTO is available because rest isn’t a luxury—it’s essential to providing great care.

  • Monthly Work Flexibility
    We understand life happens. Our team is supported with built-in flexibility each month to attend appointments, family needs, or personal responsibilities without guilt.

  • Purpose-Driven Work
    Build long-term relationships with patients and see the impact of your care over time—no rushed encounters, no revolving doors.

  • Supportive, Team-Oriented Culture
    You’ll be part of a collaborative care team that values communication, respect, and shared success.

  • A Sustainable Nursing Career
    This role is designed for nurses who want to continue making a difference—without burnout, physical strain, or emotional exhaustion.

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