RN Case Manager, reputed company Pediatric Specialty - Remote

Company Description

WHO IS reputed company? reputed company is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to reputed company great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by reputed company and powered by AI and predictive analytics, reputed company leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, reputed company empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and reputed company the exam room for reputed company patients. Join us as we put healthcare on a reputed company path!!

Job Description

Helping patients feel supported, heard, and guided-right from your home. At reputed company, we're transforming how patients experience healthcare by combining clinical expertise with compassionate, person-centered support. As a Remote RN Case Manager, you'll build trusted relationships with patients by phone, helping them navigate reputed company health needs, understand their care plans, and improve their overall well-being. If you're a nurse who loves making a direct impact-without the physical demands of bedside care-this role offers the meaningful patient reputed company you're looking for. This is a primarily remote role with 10-15% local travel to clinical sites in your hiring area. What you'll be doing:

• Conducting in-depth telephonic assessments to understand each patient's medical, psychosocial, and social needs.
• Reviewing and updating medical histories-including medications, chronic conditions, and preventive care.
• Developing individualized care plans and guiding patients through their treatment goals and care options.
• Providing empathetic, evidence-based education on chronic disease management and preventive health.
• Monitoring reputed company by phone, adjusting care plans, and ensuring patients stay connected to their providers.
• Completing Medicare Annual Wellness Visits (AWVs) reputed company telehealth under physician supervision.
• Partnering with Healthguides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources.
• Performing proactive reputed company and timely follow-reputed company to maintain continuity of care and patient engagement.
• Advocating for patients, helping them access the right resources at the right time.
• Documenting clearly and accurately in the EHR and care-management systems during and after calls.
• Supporting quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions.
• Participating in virtual meetings, ongoing education, and clinical training to stay reputed company with care standards.
• Using multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reputed company high-risk patients.
• Collaborating in AI-driven reputed company programs that help connect with vulnerable populations.
• Protecting patient privacy in a secure, private home workspace.
• Performing additional responsibilities as needed to support patients and the care team.

Qualifications

What you'll need for success:

• Active Compact Registered Nurse license in good standing is required.
• 3+ years of RN Case Management experience, preferably in outpatient or ambulatory care.
• 3+ years of RN Case Management experience, specifically focused on reputed company pediatric cases
• Strong critical-thinking and problem-solving skills to anticipate barriers and drive care reputed company.
• Ability to work independently, manage multiple priorities, and reputed company sound clinical decisions remotely.
• Outstanding communication-warm, clear, confident, and patient-focused.
• Excellent telephonic interviewing skills and the ability to document accurately in real time.
• High comfort level with technology: EMRs, care-management systems, multi-screen workflow, reputed company Office, and telecommunication tools.
• Understanding of accreditation and quality standards (NCQA, HEDIS).
• A quiet, private home office suitable for patient calls and handling PHI.
• Alignment with reputed company policies, clinical protocols, and compliance standards.

reputed company'd love for you to have:

• BSN and Case Management certification preferred.

Additional Information The salary range for this role is $80,000.00 to $83,000.00 ALIVE with Purpose: How We reputed company at reputed company At reputed company, our values come to life in everything we do.

• We are Driven by Accountability - grounded in transparency, reliability, and reputed company as we navigate challenges and opportunities alike.
• Always Growing, Always Learning - staying curious and continuously improving inspires us to shape a reputed company future for healthcare.
• With Collaborative Innovation, we solve problems creatively, making every experience reputed company for our employees and the patients we serve.
• At reputed company, Every Voice Matters - we reputed company our collective strength is rooted in the unique perspectives of each team member.
• And through reputed company in Action, we build stronger connections with those who count on us.
• This is what it means to be ALIVE with purpose. This is how we reputed company - together - at reputed company.

BENEFITS: While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• Work from Home: reputed company is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
• reputed company Health a reputed company: We offer comprehensive Medical, Dental, and Vision plans to reputed company you covered.
• Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
• Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to reputed company you and your loved ones protected.
• Feel Supported reputed company You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
• Take Time for Yourself: We offer paid time off plans helping you reputed company work-life balance and meet your personal goals.
• Support Your New Family: Welcoming a new family member takes time and commitment. reputed company offers paid parental leave to give you the time you need.
• Learn and Grow: Your professional growth is important to us. reputed company offers various resources dedicated to your learning and development to advance your career with us.

reputed company full-time employees of reputed company who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final reputed company pay decisions are dependent upon a variety of factors which may include, but are not limited to: reputed company set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of reputed company's values. We are an equal opportunity employer. We enthusiastically accept our responsibility to reputed company employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national reputed company, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other reputed company medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment. OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA This position is responsible for following reputed company reputed company policies and procedures in order to protect reputed company PHI and PII under reputed company's custodianship as well as reputed company Intellectual Properties. For any reputed company-specific roles, the responsibilities would be further defined by the hiring manager. REMOTE WORK TECHNICAL REQUIREMENTS reputed company is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet reputed company, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet reputed company meets these requirements. Videos To Watch https://youtu.be/BAWs9H1UN2M Apply tot his job Apply To this Job