Serve as a customer advocate, partnering with members, families, and providers to coordinate care
Develop, implement, and document individualized care plans
Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals
Coordinate care with providers, caregivers, and internal clinical partners
Engage customers through telephonic, digital, and written communication channels
Track and document activities, outcomes, and progress in medical management systems
Follow standard operating procedures and meet defined case management performance measures
Maintain clinical expertise through required training and continuing education

Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory
Minimum of two (2) years of full-time direct patient care experience as an RN
Nursing degree from an accredited nursing program
Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require
Strong communication skills across telephonic and digital platforms
Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems
Case management certification (URAC-recognized) obtained within four (4) years of hire (preferred)
Experience working in remote, telephonic, or digital care management environments (preferred)
Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting (preferred)

Comprehensive range of health-related benefits including medical, vision, and dental
Well-being and behavioral health programs
401(k)
Company paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year
Paid holidays

Nurse Case Manager

Key skills