Registered Nurse Case Manager

LanceSoft Inc.,; Illinois; Remote; USD 80,000 - 100,000; Full time

Job summary

A leading company in health care is seeking a Case Manager to utilize a collaborative process for assessing and planning care for clients. This fully remote position requires an active RN license and offers a competitive hourly pay range. The role involves liaising with various stakeholders, implementing case management activities, and developing care plans to ensure optimal health outcomes.

Benefits

Multiple medical insurance options

Dental and vision insurance

401k

Critical illness insurance

Life insurance

Qualifications

• Minimum 3-5 years clinical experience in areas like diabetes, CHF, CKD.
• Minimum 2-3 years in case management or home health care coordination.
• Ability to work independently, possibly from home.

Responsibilities

• Acts as a liaison with member/client/family, employer, provider(s).
• Implements and coordinates case management activities.
• Develops care plans to facilitate appropriate management and wellness.

Skills

Analytical skills

Problem-solving

Communication

Organizational skills

Interpersonal skills

Education

Active Registered Nurse license

Tools

MS Office

Job description

1 day ago Be among the first 25 applicants

Direct message the job poster from LanceSoft Inc.,

Career Connector | Bridging Exceptional Talent with Leading Industry Roles

Estimated Length of Assignment: 06/16/2025 to 09/15/2025.

Est. Pay Range: $34.00/hr. to $36.00/hr.

Work Type: Fully remote (never coming onsite)

Position Summary:

• The Case Manager utilizes a collaborative process of assessment, planning, facilitation, and advocacy for options and services to meet an individual’s benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Requires RN with unrestricted IL active license.

Duties:

• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate.
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care, including referrals, home care visits, community resources, and alternative care levels.
• Interacts with members/clients telephonically or in person, including home, worksite, or physician’s office visits for ongoing case management services.
• Assesses and analyzes medical and vocational status; develops care plans to facilitate appropriate management, wellness, timely return to work, and benefit eligibility.
• Communicates with stakeholders (medical providers, attorneys, employers, insurance carriers) via phone or in person.
• Prepares documentation of case work activities.
• Collaborates with internal multidisciplinary teams to maximize health outcomes.
• May contact physicians or specialists regarding care and treatment plans.
• Provides educational and preventive information for better medical outcomes.
• Applies relevant laws, regulations, and insurance-specific instructions.
• Testifies as required to support case reports.
• Evaluates members’ needs and benefit plan eligibility, using clinical tools and data.
• Follows regulatory and company policies in case management processes.
• Facilitates condition management, wellness, and return to baseline or work.
• Develops proactive strategies to improve short and long-term outcomes and overall wellness.
• Monitors progress toward desired outcomes through assessment and evaluation.

Experience:

• Minimum 3-5 years clinical experience in areas like diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, especially with Medicare members.
• Minimum 2-3 years in case management, discharge planning, or home health care coordination.
• Strong analytical, problem-solving, communication, organizational, and interpersonal skills.
• Ability to work independently, possibly from home.
• Proficiency with MS Office and proprietary applications.

Education:

• Active Registered Nurse license in good standing within the region of employment.

Employee Benefits:

• Multiple medical insurance options, dental, vision, 401k, critical illness, life insurance, and other perks.

LanceSoft is an MBE and an equal opportunity employer. We prohibit discrimination based on protected characteristics. Employment decisions are based on qualifications, merit, and business needs.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Contract
• Job function: Health Care Provider
• Industries: IT Services and IT Consulting