Remote Case Manager: Care Coordination & SDOH Advocate

OpenKrill; United States; Remote; USD 68,000 - 90,000; Full time

Job summary

Oscar is hiring a Case Manager to join our Care Delivery - Clinical team. The Case Manager collaborates across Oscar teams to deliver high-quality care, educate members, evaluate Social Determinants of Health (SDOH), and connect individuals with community resources while contributing to pilot programs as required.

You will report into the Case Management supervisor. This fully remote role is open to candidates residing in the U.S., with travel for team meetings and events as needed.

Qualifications

• 2+ years of clinical experience in hospital, outpatient, or community-based care management.
• 2+ years working directly with patients with chronic conditions (e.g., diabetes, COPD, hypertension).
• 1+ years of care coordination and navigation experience.
• Active, unrestricted RN license in the United States or MSW from an accredited program.

Responsibilities

• Coordinate care across settings (inpatient, outpatient, ER, home care) while maintaining strict confidentiality and high professional standards.
• Partner with members and providers to navigate complex health challenges and create personalized care plans that drive better clinical outcomes.
• Assess and address Social Determinants of Health (SDOH) by connecting members with tailored community support resources.
• Provide crisis intervention support and act as a dedicated member advocate to resolve barriers to care and treatment compliance.
• Engage directly with members via phone, secure messaging, or in-person, to provide education on health conditions, hospital discharges, medical procedures, and new prescriptions.
• Compliance with all applicable laws and regulations.
• Other duties as assigned.

Skills

Clinical experience

Care coordination

Patient engagement

RN licensure or MSW

Education

RN license (US)

MSW degree

Job description

Oscar is hiring a Case Manager to join our Care Delivery - Clinical team. The Case Manager collaborates across Oscar teams to deliver high-quality care, educate members, evaluate Social Determinants of Health (SDOH), and connect individuals with community resources while contributing to pilot programs as required.

You will report into the Case Management supervisor. This fully remote role is open to candidates residing in the U.S., with travel for team meetings and events as needed.