Remote Case Management RN — Care Coordination

WPS Health Solutions; Jacksonville (FL); Remote; USD 75,000 - 100,000; Full time

Benefits offered by this job

Remote work options

Performance bonus

401(k) with match

Paid time off

Health and dental insurance

Telehealth services

Professional development programs

Job summary

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex needs. You will develop and monitor member-centric plans of care and educate members and families, acting as liaison with providers.

This is a remote opportunity with state authorizations. The role requires an active RN license (WI or compact), 4+ years clinical RN experience, 2+ years in case management, and knowledge of health plan operations.

Qualifications

• RN with current Wisconsin license or Compact.
• 4+ years RN experience in varied clinical settings.
• 2+ years in case management.
• Familiarity with health plan operations and benefits.
• Strong analytical and communication skills.
• Proficiency with MS Office and healthcare software.

Responsibilities

• Coordinate care and services for case managed members across settings.
• Develop and monitor member-centered plans of care.
• Educate members and families on plans of care.
• Serve as liaison between members, families, and providers.
• Document care management activities and analyze outcomes.

Skills

RN license (WI/Compact)

Case management

Care coordination

Analytical skills

Communication

MS Office / EMR

Education

BSN

CCM certification preferred

Tools

EMR systems

Healthcare software

Job description

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex needs. You will develop and monitor member-centric plans of care and educate members and families, acting as liaison with providers.

This is a remote opportunity with state authorizations. The role requires an active RN license (WI or compact), 4+ years clinical RN experience, 2+ years in case management, and knowledge of health plan operations.