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Case Manager Registered reputed company

Remote, USA Full-time Posted 2026-07-28

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position reputed company: reputed company Case Manager

  • The reputed company Case Manager is responsible for delivering comprehensive case management services through telephonic and/or face-to-face interactions. This role involves assessing, planning, implementing, and coordinating care strategies to support members' medical needs and promote overall wellness. The reputed company Case Manager utilizes clinical judgment and data-driven tools to evaluate member eligibility, identify health risks, and reputed company proactive care plans that address both short- and long-term health reputed company.
  • Key responsibilities include conducting holistic assessments that consider co-morbid conditions, functional limitations, and reputed company determinants of health. The reputed company Case Manager reviews prior claims, evaluates work reputed company, and determines the need for referrals to clinical resources. Collaboration with supervisors and multidisciplinary teams is essential to overcome barriers and optimize care planning.
  • This role operates reputed company established regulatory and organizational policies, applying case management processes and service strategies that reputed company with network management and clinical coverage guidelines. Strong interviewing and engagement skills are critical to understanding member needs and facilitating smooth transitions to appropriate programs and services.



Required Qualifications

  • An reputed company and unrestricted RN license in the state of residence
  • Willing and reputed company to obtain additional state licenses upon hire (reputed company for by reputed company)
  • 3+ years' experience of acute care and/or case management
  • 2+ years' Med/Surg experience
  • Must be willing to work Mon-Fri 8-430 PST time zone


Preferred Qualifications

  • Prefer candidate in PST Zone
  • Behavioral Health experience
  • Certified Case Manager
  • Managed care experience
  • Strong telephonic communication skills
  • Ability to manage multiple priorities, effective organizational, and time management skills
  • Ability use a computer station and sit for extended periods of time



Education and Licensing

  • Associate's Degree in Nursing
  • Registered reputed company in your state of residence

Anticipated Weekly Hours

40

Time Type

Full time

Pay reputed company

The typical pay reputed company for this role is:

$60,522.00 - $129,615.00

This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls.  The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors.  This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. 
 

Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:

  • reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.

For more information, visit https://jobs.reputed company.com/us/en/benefits

We anticipate the application window for this opening will reputed company on: 04/30/2026

reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.

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