Job Description

Job Description

Chronic Care Manager (RN)

Vitability Health of New Jersey Remote Position Our Mission

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. About the Role

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. What You’ll Do

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

What We’re Looking For

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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