Case Manager - 171199

ZP Group; North Carolina; Remote; USD 66,000 - 80,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Sick leave

401K

Job summary

Piper Companies is seeking a Case Manager to support a leading organization in health insurance and managed care. This fully remote role is available to candidates located in North Carolina and involves collaboration with interdisciplinary healthcare teams to improve member outcomes, coordinate services, and promote quality, cost-effective care.

Responsibilities include evaluating member needs, coordinating services, monitoring progress, and providing education and advocacy to encourage

Qualifications

• Active RN, RD, or LCSW license required with minimum 3 years in clinical/care coordination/case management.
• Master’s in Social Work may be considered for select positions with 5 years related experience.
• Behavioral Health-focused candidates may qualify with alternative licensure and 3 years direct clinical experience.
• Must possess and maintain a valid NC or compact multi-state clinical license in good standing.

Responsibilities

• Conduct comprehensive evaluations to identify member needs, risks, goals, and support requirements; create individualized care strategies.
• Partner with members, families, providers, and community organizations to coordinate services across the healthcare continuum.
• Monitor member progress with outreach, reassessments, and care plan updates to optimize outcomes.
• Provide education, advocacy, and guidance to encourage preventive care, adherence, and informed healthcare decisions.
• Maintain accurate documentation of assessments, interventions, and outcomes, ensuring regulatory and organizational compliance.

Skills

Assessment

Communication

Care planning

Documentation

Interdisciplinary collaboration

Education

RN license (active)

RD license (active)

LCSW license (active)

Master’s in Social Work

Job description

Piper Companies is seeking a Case Manager to support a leading organization within the health insurance and managed care industry. This fully remote Case Manager opportunity is available to candidates located in North Carolina and offers the chance to collaborate with interdisciplinary healthcare teams to improve member outcomes, coordinate services, and promote quality, cost-effective care.

Responsibilities

• Conduct comprehensive evaluations to identify member needs, risks, goals, and support requirements, creating individualized care strategies.


• Partner with members, families, healthcare providers, and community organizations to coordinate services across the healthcare continuum.


• Monitor member progress through regular outreach, reassessments, and care plan updates to ensure optimal clinical and resource utilization outcomes.


• Provide education, advocacy, and guidance to encourage preventive care, treatment adherence, and informed healthcare decisions.


• Maintain accurate documentation of assessments, interventions, care coordination activities, and member outcomes while ensuring regulatory and organizational compliance.

Qualifications

• Active RN, RD, or LCSW license with a minimum of three years of clinical, care coordination, or case management experience required.


• Master's in Social Work with five years of related experience may be considered for select positions.


• Behavioral Health-focused candidates may qualify with alternative applicable licensure and at least three years of direct clinical experience.


• Must possess and maintain a valid North Carolina or compact multi-state clinical license in good standing.


• Strong assessment, communication, care planning, documentation, and interdisciplinary collaboration skills required.

Compensation

• Salary Range: $66,000 - $80,000 annually


• Comprehensive Benefits: Medical, Dental, Vision, sick leave if required by law, and 401K

Application Details

• Posting Date: August 7, 2026


• Apply-By Date: September 7, 2026


• Location: Remote (United States)

Keywords

Case Management, Care Coordination, Managed Care, Utilization Management, Disease Management, Population Health, Member Advocacy, RN, Registered Nurse, LCSW, Licensed Clinical Social Worker, RD, Registered Dietitian, Behavioral Health, Health Insurance, Care Planning, Medical Necessity, Discharge Planning, Community Resources, Healthcare Navigation, Clinical Assessment, Telephonic Case Management, Chronic Disease Management, Quality Improvement, Patient Education, Transitional Care, Care Continuum, Interdisciplinary Team, Member Engagement, Risk Stratification, Documentation, Care Management, Resource Allocation, Health Outcomes, Benefit Review, Utilization Review, Remote Healthcare, Population Management, Clinical License, NC Compact License

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