Remote Anthem Jobs in Rochester, MI (NOW HIRING)

Remote Case Manager RN (Compact License Required) – Contract to Hire

Department: BCCC Commercial Operations
Location: 100% Remote
Schedule: Full-Time

Position Overview

The Case Manager RN leads the coordination of a multidisciplinary team to deliver a holistic, person-centric care management program to a diverse health plan population with a variety of health and social needs.

Serves as the single point of contact for members, caregivers, and providers using a variety of communication channels including phone calls, emails, text messages, and the online messaging platform.

Uses the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the member’s health across the care continuum.

Schedule & Requirements

• Fully remote – no onsite requirement
• Must live in an approved Compact State and hold a Multistate License
• Working hours up to 8:00 PM EST may be expected
• No vacation allowed during the first 8 weeks of training
• Duration: 1-year contract to hire

Approved States (Must Reside In):

Colorado, Georgia, Indiana, Kentucky, Mississippi, Ohio, Pennsylvania, Virginia, Washington, Louisiana, Iowa

Key Responsibilities

• Lead coordination of a multidisciplinary care team including Social Workers, Dietitians, Pharmacists, Clinical Support Staff, and Medical Directors
• Assess member health, psychosocial needs, cultural preferences, and support systems
• Develop and implement individualized care plans in partnership with members and providers
• Identify gaps in care and address barriers to improve health outcomes
• Coordinate care delivery with providers, community agencies, and family support systems
• Arrange resources including community services, mental health support, and disease-specific programs
• Provide education on health literacy, medication plans, nutrition, and self-management
• Monitor and evaluate care plan effectiveness and adjust as needed
• Document all member interactions accurately
• Support discharge planning and care transitions between facilities and home
• Coordinate transportation, durable medical equipment, and follow-up care

Education & Experience

• Bachelor’s Degree in Nursing required
• 3 years of clinical nursing experience required
• 1 year of case management experience preferred
• Experience managing patients telephonically and digitally preferred

Licenses & Certifications

• Active, unrestricted Multistate Compact RN License required
• CCP and Case Management certifications preferred

Skills & Qualifications

• Critical thinking and problem-solving ability
• Strong communication and interpersonal skills
• Organizational and time management skills
• Ability to manage multiple systems and tools simultaneously
• Proficiency in Microsoft Office (Excel, Outlook, Teams, Word)
• Ability to work independently and within a team environment

Compensation Options

• $33.50/hour – 10 days PTO, 6 paid holidays, medical, dental, and vision
• $34.50/hour – 10 days PTO, no holidays, medical, dental, and vision
• $35.00/hour – 10 days PTO, 6 holidays, no medical
• $36.00/hour – 9 days PTO only