RN Case Manager (Employer Health Self Insured Plans)
$80kRedirect Health Inc
Who We Are Redirect Health exists to make healthcare affordable for small businesses and people who can’t afford traditional employer insurance. We help real people navigate a confusing, expensive, and frustrating system with empathy, accountability, and simplicity. How We Work (Our Core Values in Action) Obsess Over People – We are always helpful, friendly, and human. Own It to Completion – If we take something on, we see it through. Always Improve & Adapt – We learn quickly and adjust without ego. Always Start with “Yes, We Can Help You” – We lead with solutions and figure out the rest. Succeed as a Team – We win together through trust and collaboration. Detest Waste & Unnecessary Complexity – We remove friction so we can focus on what truly helps people. About This Role The RN Case Manager serves as the primary clinical point of contact for employer groups and their employees, building trusted relationships to help them navigate healthcare with clarity, confidence, and support. This role is a critical bridge between patients, employers, and care teams, ensuring employees in self‑insured plans receive the right care at the right time while improving outcomes and reducing unnecessary costs. In This Role, You Will Serve as the primary relationship owner for assigned employer groups and their employees. Provide one‑on‑one guidance, advocacy, and clinical support to help members navigate their healthcare. Partner with members to create personalized care plans and coordinate care across providers. Help employees access timely, effective, and cost‑conscious care. What You’ll Do Own relationships with assigned employer groups and their employees, serving as their primary clinical point of contact. Support members and families through care navigation, education, and ongoing coordination. Collaborate with Medical Directors, Medical Assistants, providers, employer partners, and internal care teams. Improve outcomes by guiding members to the right level of care, supporting chronic condition management, and reducing unnecessary utilization. Advocate for members by navigating the healthcare system, coordinating referrals, and ensuring continuity of care. Educate members on benefits, care options, and preventive health strategies. Monitor care plans, progress, and outcomes, and escalate more complex clinical needs when appropriate. A Strong Performer Is Known For Building trust quickly with both members and employer partners. Strong clinical judgment paired with practical, real‑world problem solving. Communicating clearly, confidently, and with empathy. Consistently delivering coordinated, high‑quality support that improves outcomes. How Success Is Measured Positive member and employer satisfaction. Timely, effective care navigation and coordination. Reduction in unnecessary or avoidable healthcare utilization. Strong engagement and trust with assigned employer groups. Effective collaboration with clinical and operational teams. What We’re Looking For Active, unrestricted Registered Nurse (RN) license. 3+ years of clinical experience (case management, care coordination, or population health preferred). Experience working with self‑insured employers, health plans, or utilization management strongly preferred. Strong understanding of healthcare navigation, benefits, and cost‑conscious care delivery. Excellent communication and relationship‑building skills. Ability to manage multiple cases while maintaining a high level of personalization. Comfortable working in a remote, tech‑enabled environment. Why Join Redirect Health When we say free, we mean $0 out of your paycheck and $0 when you need care :
- 0 monthly premiums
- 0 to add your spouse or children
- 0 deductibles (we reimburse them)
- 0 out‑of‑pocket maximums
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