Case Manager-RN

? Now Hiring:
Case Manager RN (Remote)

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Location:

Fully Remote (No onsite requirement) Michigan preferred

We’re looking for a Case Manager RN to lead care coordination for a diverse member population, delivering holistic, person-centered care across the continuum. This role serves as the primary point of contact for members, caregivers, and providers, driving outcomes through collaboration, education, and advocacy.

• Lead a multidisciplinary care team (Social Workers, Dietitians, Pharmacists, Clinical Staff, Medical Directors) to deliver integrated care
• Manage end-to-end case management processes (assessment, care planning, implementation, monitoring, evaluation)
• Develop individualized care plans based on medical, psychosocial, and cultural needs
• Coordinate services across providers, community resources, and support systems
• Identify care gaps, remove barriers, and improve health outcomes
• Educate members on health literacy, self-management, medications, and nutrition
• Support care transitions (facility ? home or other settings), ensuring continuity of care
• Arrange services such as DME, transportation, and community support resources
• Document care activities accurately and meet quality and production standards

• Active, unrestricted Michigan RN license
• Nursing Diploma or Associate’s degree (BSN preferred)
• 3+ years clinical nursing experience (acute/post‑acute/community)
• Strong critical thinking, communication, and organizational skills
• Comfortable managing multiple systems while engaging members

• Case management experience (managed care)
• Experience supporting members via phone and digital channels
• CCM certification (or willing to obtain within 18 months)
• CCP certification is a plus

• Care coordination & care planning
• Motivational interviewing
• Member advocacy & engagement
• Time management & multitasking
• Microsoft Office (Excel, Outlook, Teams, Word, etc.)

• 100% remote flexibility
• Collaborative, mission‑driven care environment
• Opportunity to make a direct impact on member health outcomes