Remote Case Management RN: Impactful Care & Coordination

WPS Health Solutions; Detroit (MI); Remote; USD 75,000 - 100,000; Full time

Benefits offered by this job

Remote work options available

Performance bonus

401(k) with matches

Competitive PTO

Health insurance

Dental insurance

Telehealth services

Development programs

Job summary

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs in a remote-capable role. You will develop and monitor member-centric care plans, educate members and families, and liaise with providers to ensure efficient service use.

The role requires RN licensure (prefer Wisconsin or compact), 4+ years of RN experience, and 2+ years in case management. Remote work is available in multiple states, with a focus on Michigan residents.

Qualifications

• RN with Wisconsin license or Compact license.
• 4+ years of RN experience in varied clinical settings.
• 2+ years of case management experience.
• Strong knowledge of clinical care management and care coordination.
• Familiarity with health plan operations and insurance benefits.
• Proficient in Microsoft Office and healthcare software.

Responsibilities

• Develop and monitor individualized plans of care for complex members.
• Educate members and families on care plans and utilization of services.
• Coordinate medical services and transitions of care across settings.
• Act as liaison among members, families, and health care providers.
• Document care management activities and analyze high-risk cases.

Skills

RN licensure

Case management

Care management knowledge

Microsoft Office

EMR systems

Education

BSN

Tools

EMR systems

Microsoft Office

Job description

WPS Health Solutions is seeking a Case Management RN to coordinate care for members with complex health needs in a remote-capable role. You will develop and monitor member-centric care plans, educate members and families, and liaise with providers to ensure efficient service use.

The role requires RN licensure (prefer Wisconsin or compact), 4+ years of RN experience, and 2+ years in case management. Remote work is available in multiple states, with a focus on Michigan residents.