RN Case Manager

Job Description

Job Description

Advance your nursing career in a role where you can directly improve patient outcomes, coordinate care across the healthcare continuum, and make a meaningful difference in members' lives. If you're an experienced RN with strong case management skills and a passion for helping patients navigate complex healthcare needs, this remote opportunity could be an excellent fit.

Location: Remote* (North Carolina residents preferred)
Pay Rate: $40-43/hr
Employment Type: Contingent with potential pathway for contract extension or conversion
Schedule: Monday-Friday, 8:00 AM-5:00 PM EST

Why This Role Matters

As an RN Case Manager, you will serve as a critical advocate for members by coordinating care, identifying barriers to treatment, and supporting positive health outcomes. Through comprehensive assessments, care planning, and ongoing member engagement, you'll help ensure members receive the right care at the right time.

What You'll Do

• Conduct comprehensive clinical assessments to evaluate members' healthcare needs and support requirements
• Develop and implement individualized, member-centered care plans based on health status, goals, and available resources
• Coordinate care across multiple settings including hospitals, physician offices, rehabilitation facilities, skilled nursing facilities, and home care services
• Perform telephonic outreach and follow-up with members, prioritizing recently discharged patients and high-risk cases
• Monitor member progress, assess outcomes, and modify care plans as needed
• Educate members regarding health conditions, treatment options, and available community resources
• Identify barriers to care and facilitate appropriate referrals and interventions
• Review treatment plans, assess benefit eligibility, and evaluate medical necessity when applicable
• Maintain accurate and timely documentation of assessments, care plans, interventions, and outcomes
• Collaborate with providers, family members, and internal partners to support quality care delivery

What We're Looking For

• A current, up-to-date resume
• Active RN license required (NC or Compact/Multi-State License)
• Minimum of 3 years of clinical and/or case management experience
• Hospital-based case management or clinical nursing experience required
• Strong telephonic communication and customer service skills
• Excellent time management, organizational, and prioritization abilities
• Ability to manage a caseload in a fast-paced environment
• Insurance case management experience preferred
• Medicare experience preferred
• CCM (Certified Case Manager) certification preferred
• Strong technical proficiency and ability to navigate multiple systems efficiently
• Telephonic case management experience preferred
• Ability to meet compliance requirements
• Must be eligible and provide proof of eligibility to work in the US

What's In It For You

• Competitive pay of $40-$43 per hour
• Fully remote opportunity with a leading healthcare organization
• Potential for contract extension or conversion opportunities
• Meaningful work that positively impacts member health outcomes
• Opportunity to develop expertise in complex care coordination and population health management
• Collaborative healthcare environment working alongside experienced clinical professionals

Benefits for Manpower Associates (Upon Eligibility)

Upon completion of waiting period associates are eligible for:

• Medical and Prescription Drug Plans
• Dental Plan
• Supplemental Life Insurance
• Short Term Disability Insurance
• 401(k)

*Remote Eligibility: Remote workers must reside in one of the following states to be eligible for this remote opportunity: North Carolina, Alabama, Arizona, Arkansas, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maryland, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, Wyoming