Case Manager - Registered Nurse

We’re seeking an experienced Registered Nurse (RN) Case Manager to join our team in a fully remote role. In this position, you’ll partner with members to assess needs, coordinate care, and drive better health outcomes—while enjoying the flexibility of working from home.

What You’ll Do

• Assess, plan, and coordinate care telephonically (and occasionally in person) to support member wellness
• Develop proactive care plans to address complex medical and social needs
• Use clinical judgment, data, and assessments to reduce risk factors and improve outcomes
• Collaborate with members and refer them to appropriate benefit programs and services
• Engage members through effective interviewing and strong communication skills
• Ensure case management activities meet regulatory and company standards

Schedule & Location

• 100% remote (candidates may reside in any U.S. state)
• Monday–Friday, 9:00 AM–5:30 PM EST (8-hour scheduled shift)
• Weekends and holidays are currently on-call only and voluntary
• Less than 5% travel for meetings, training, or licensure requirements

Required Qualifications

• Active, unrestricted RN license in your state of residence
• Willingness to obtain additional state licenses (company paid)
• 3+ years of acute care RN experience (medical, surgical, ICU, pediatrics, discharge planning, or case management)
• Comfort working with multiple systems/screens for extended periods
• Private, distraction-free workspace with high-speed internet

Preferred Qualifications

• Nurse Licensure Compact (NLC) license
• 1+ year of case management experience
• CCM certification
• Strong customer service and telephonic communication skills
• Proficiency with Microsoft Office (Word, Excel, PowerPoint)

Education

• Associate Degree in Nursing (required)
• Bachelor of Science in Nursing (preferred)