RN Case Manager

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Registered Nurse (RN) Case Manager based in the United States.

In this fully remote role, you will play a key part in improving patient outcomes while ensuring effective and efficient healthcare delivery. You will coordinate comprehensive care plans tailored to individual patient needs, helping patients access appropriate medical services and community resources. Working closely with patients, families, physicians, hospitals, and other healthcare providers, you will facilitate continuity of care and promote patient safety. Depending on your expertise, you may support general medical case management or specialized, high-acuity areas such as high-risk obstetrics, neonatal care, and chronic disease management. This position offers the opportunity to combine clinical expertise, independent decision-making, and collaborative care coordination in a patient-centered environment.

\Assess, plan, implement, coordinate, monitor, and evaluate individualized care plans to address patients' health needs and promote positive clinical outcomes.

Identify appropriate candidates for case management through referrals from multiple sources, explain available services, obtain voluntary participation, and maintain an appropriate patient caseload.

Coordinate healthcare services by connecting patients with relevant plan benefits, community resources, and appropriate levels of care while supporting cost-effective healthcare delivery.

Act as a liaison between patients, families, caregivers, physicians, hospital discharge planners, home healthcare providers, and other healthcare professionals to ensure continuity and accessibility of care.

Provide specialized education and guidance on disease-specific conditions and support patients in understanding their healthcare needs and available treatment options.

Apply evidence-based nursing practices and professional judgment to promote patient safety and ensure compliance with applicable regulations, state nursing requirements, organizational policies, and URAC standards.

Stay informed about developments in medical and surgical procedures, healthcare services, medications, products, and broader healthcare delivery trends.

Maintain accurate, confidential, and secure patient information while adhering to established information security and operational procedures.

Active Registered Nurse (RN) license in good standing in the state or states where professional duties are performed.

Bachelor's degree in Nursing (BSN) preferred.

Minimum of four years of clinical experience in at least one of the following areas: case management, home health, critical care, medical/surgical nursing, discharge planning, concurrent review, or obstetric/neonatal care.

Case management certification required. Accepted certifications include Certified Case Manager (CCM), Accredited Case Manager (ACM), and Registered Nurse–Board Certified (RN-BC).

Excellent interpersonal, collaborative, and communication skills, including the ability to work effectively with patients, families, and multidisciplinary healthcare teams.

Ability to work independently, manage priorities, maintain attention to detail, and coordinate multiple patient needs efficiently.

Proficiency in Microsoft Office applications, particularly Excel, Outlook, and PowerPoint, as well as familiarity with healthcare information systems and case management tools.

Strong organizational, research, customer service, and written and verbal communication skills.

Ability to maintain confidentiality and comply with applicable healthcare regulations and information security requirements.

Must reside and work remotely within one of the following eligible states: Remote work flexibility: Full-time, work-from-home opportunity within the eligible U.Tuition reimbursement to support continued education and career growth.

Health and wellness initiatives: Access to fitness facilities and healthy dining options at designated company locations.

A collaborative and supportive environment that values diversity, employee engagement, and long-term professional relationships.

Community involvement: Opportunities to participate in charitable initiatives, volunteer activities, and community support programs.

Full-time employment: Regular employment offering the opportunity to contribute to meaningful, patient-focused healthcare services.

\to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. The final decision and next steps (interviews, assessments) are managed by their internal team.

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