RN Case ManagerJob Type: Contract (6 months, potential extension)
Schedule: Monday – Friday, 8:00 AM – 5:00 PM CST
Location: Remote – must reside in a Compact State (CST preferred; EST considered for strong candidates)
About the RoleWe are seeking experienced RN Case Managers to join our team. This role is fully remote and focuses on insurance medical case management—not patient collections. You will collaborate with members, providers, and payers to ensure effective care coordination, cost-effective outcomes, and compliance with benefit plans.
Key ResponsibilitiesConduct comprehensive assessments of members’ needs using clinical tools and data.
Collaborate with members, providers, and insurance carriers to develop care plans.
Submit appeals, handle authorizations, and resolve insurance-related denials.
Apply case management processes to ensure compliance with accreditation and regulatory standards.
Promote cost-effective, quality outcomes for members through care coordination and advocacy.
RequirementsRN with current, active Compact State license (unrestricted).
2–3 years of direct clinical experience (hospital, home health, or ambulatory care).
2+ years of healthcare and/or managed care industry experience.
Case management experience required.
Strong communication, organizational, and multitasking skills.
Computer proficiency with ability to navigate multiple systems.
Case Management Certification preferred.
Why Apply?Fully remote – no onsite requirement.
Opportunity to work with a nationally recognized healthcare organization.
Monday–Friday schedule (no weekends).