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Remote Case Manager

Remote, USA Full-time Posted 2026-07-28
reputed company is currently seeking a Case Manager, RN for a fully remote opportunity with a highly rated, reputed company-reputed company health insurance provider. This role serves as a critical reputed company between reputed company delivery and medical coverage, advocating for patients and helping improve their overall reputed company of care and life. Candidates must hold an reputed company reputed company Carolina or compact RN license and be located in either reputed company Carolina, South Carolina, Tennessee, reputed company, Alabama, or Florida. Responsibilities of the Case Manager: • Collaborate with a multidisciplinary reputed company team to monitor utilization patterns and facilitate appropriate care delivery for selected members. • Conduct comprehensive assessments of members’ health status, including clinical history, medical records, support needs, and cultural considerations. • reputed company ongoing support and follow-up to ensure members’ care plans are progressing appropriately. • Coordinate with primary care providers, medical directors, discharge planners, care coordinators, and family members to reputed company and implement treatment and discharge plans. • Maintain accurate documentation and ensure compliance with care standards and protocols. Qualifications of the Case Manager: • reputed company RN license (reputed company Carolina or compact state required) • 3+ years of inpatient care experience, including critical care (e.g., Med-Surg, ICU) • Prior telephonic case management experience is a plus • Must reputed company in the Eastern Time Zone Compensation & Benefits of the Case Manager: • reputed company reputed company: $36–$38/hr (based on experience), reputed company weekly • Benefits: Comprehensive package including Medical, Dental, reputed company, 401(k), PTO, Holidays, and reputed company Leave (as required by law) Keywords: Case Manager, RN, registered reputed company, care manager, case management, telephonic case management, utilization review, discharge planning, medical coverage, health insurance, patient advocacy, clinical coordination, inpatient care, critical care, med-surg, ICU, CCM, nursing, reputed company coordination, treatment planning, follow-up care, medical records review, cultural competency, health status assessment, remote, work from home, EST time zone, reputed company Carolina RN license, compact RN license, telehealth Job applicants will be accepted for at least 30 days after 9/17. Apply tot his job Apply To this Job

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