Remote Case Manager & Chronic Care Navigator

Oscar Health, Inc.; Atlanta (GA); Remote; USD 68,000 - 89,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

11 paid holidays

Paid sick time

Paid parental leave

401(k) plan participation

Life and disability insurance

Wellness time and reimbursements

Fully remote

Job summary

Oscar Health, Inc. is hiring a Case Manager to join our team. The role focuses on delivering high-quality care, educating members, evaluating Social Determinants of Health (SDOH), and connecting individuals with community resources while sharing in process improvements.

The position is fully remote in the U.S. (excluding listed states), reporting to the Case Management supervisor. Responsibilities include coordinating care across settings, advocacy, and compliance with laws and company policies.

Qualifications

• 2+ years of clinical experience including hospital, outpatient, or community-based care management.
• 2+ years of experience working directly with patients with chronic medical conditions (e.g., diabetes, COPD, hypertension).
• 1+ years experience in Care Coordination and Navigation.
• Active, unrestricted RN licensure in the U.S. or MSW from a nationally accredited program.

Responsibilities

• Coordinate care across inpatient, outpatient, ER, and home care while maintaining confidentiality and high professional standards.
• Partner with members and providers to navigate health challenges and create personalized care plans.
• Assess and address Social Determinants of Health by connecting members with community resources.
• Provide crisis intervention support and advocate to resolve barriers to care and treatment compliance.
• Engage with members via phone, secure messaging, or in-person to educate on conditions, discharges, procedures, and prescriptions.
• Ensure compliance with applicable laws and regulations.

Skills

Clinical experience

Chronic condition care

Care coordination

RN licensure eligibility

Education

RN licensure or MSW/CSWE

Job description

Oscar Health, Inc. is hiring a Case Manager to join our team. The role focuses on delivering high-quality care, educating members, evaluating Social Determinants of Health (SDOH), and connecting individuals with community resources while sharing in process improvements.

The position is fully remote in the U.S. (excluding listed states), reporting to the Case Management supervisor. Responsibilities include coordinating care across settings, advocacy, and compliance with laws and company policies.