Remote Case Management RN — Care Coordinator

WPS Health Solutions; Kansas City (MO); Remote; USD 75,000 - 100,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus and/or merit raise

401(k) match

PTO

Health insurance

Dental insurance

Telehealth services

Professional and Leadership Programs

Job summary

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs. The role centers on developing and monitoring member-centered care plans, educating members and families, and liaising with providers to optimize care quality and cost-efficiency.

Requirements include an RN license, 4+ years of RN experience, 2+ years in case management, and familiarity with health plan operations.

Qualifications

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

Responsibilities

• Coordinate care plans for members with complex needs.
• Review and decision-making for high-cost services.
• Act as liaison among members, families, and providers.
• Educate members and caregivers on plans and resources.
• Document care management activities and outcomes.
• Support cross-functional efficiency and compliance.

Skills

RN license

Case management

Communication skills

EMR experience

Education

BSN

CCM certification

Tools

MS Office

EMR systems

Job description

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs. The role centers on developing and monitoring member-centered care plans, educating members and families, and liaising with providers to optimize care quality and cost-efficiency.

Requirements include an RN license, 4+ years of RN experience, 2+ years in case management, and familiarity with health plan operations.