Remote Case Management RN — Care Coordination

WPS Health Solutions; Minneapolis (MN); Remote; USD 75,000 - 100,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with 100% match for first 3% of

2% match for next 2%

Competitive paid time off

Health insurance, dental, telehealth

Professional development programs

Job summary

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs. You will develop and monitor care plans, educate members and families, and liaise with providers to promote effective and cost‑efficient service utilization.

The role requires RN licensure in Wisconsin or a compact license, 4+ years’ RN experience, and 2+ years in case management, with proficiency in MS Office and EMR systems. Remote work is available in multiple approved states.

Qualifications

• RN with current licensure in the state of Wisconsin or Compact License.
• 4+ years of experience as an RN in varied clinical settings.
• 2+ years of case management experience.
• Demonstrated experience managing and coordinating care for case managed members.
• Strong knowledge of clinical care management processes and care coordination.
• Familiarity with health plan operations, payer/provider relationships, and insurance benefits.
• Ability to work independently, manage a caseload, and prioritize; strong analytical and communication skills; proficient with MS Office and healthcare software.

Responsibilities

• Coordinate care across settings and develop member‑centric plans of care.
• Educate members and families on plans of care and service options.
• Serve as liaison between members, families, and healthcare providers.

Skills

Registered Nurse (RN)

Case management

Analytical thinking

Communication skills

Microsoft Office

Education

Bachelor's degree in Nursing

BSN preferred

Tools

EMR systems

Healthcare software

Job description

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs. You will develop and monitor care plans, educate members and families, and liaise with providers to promote effective and cost‑efficient service utilization.

The role requires RN licensure in Wisconsin or a compact license, 4+ years’ RN experience, and 2+ years in case management, with proficiency in MS Office and EMR systems. Remote work is available in multiple approved states.