Remote Case Manager: Health Outcomes & Care Coordination

Piper Companies; North Carolina; Remote; USD 66,000 - 80,000; Full time

Job summary

Piper Companies seeks a Case Manager to support a leading health insurance organization. This fully remote role is available to candidates in the United States, with responsibilities spanning member assessment, care coordination, and education to promote quality, cost-effective care.

Ideal candidates hold RN, RD, or LCSW licensure with 3+ years of clinical/care coordination experience; an MSW with 5+ years may qualify for select positions.

Qualifications

• Active RN, RD, or LCSW license with a minimum of three years of clinical, care coordination, or case management experience required.
• Master's in Social Work with five years of related experience may be considered for select positions.
• Behavioral Health-focused candidates may qualify with alternative applicable licensure and at least three years of direct clinical experience.
• Must possess and maintain a valid North Carolina or compact multi-state clinical license in good standing.
• Strong assessment, communication, care planning, documentation, and interdisciplinary collaboration skills required.

Responsibilities

• Conduct comprehensive evaluations to identify member needs, risks, goals, and support requirements, creating individualized care strategies.
• Partner with members, families, healthcare providers, and community organizations to coordinate services across the healthcare continuum.
• Monitor member progress through regular outreach, reassessments, and care plan updates to ensure optimal clinical and resource utilization outcomes.
• Provide education, advocacy, and guidance to encourage preventive care, treatment adherence, and informed healthcare decisions.
• Maintain accurate documentation of assessments, interventions, care coordination activities, and member outcomes while ensuring regulatory and organizational compliance.

Skills

RN license

LCSW license

RD license

Case management experience

Behavioral health experience

Interdisciplinary collaboration

Care planning

Documentation

Education

Master's in Social Work

Job description

Piper Companies seeks a Case Manager to support a leading health insurance organization. This fully remote role is available to candidates in the United States, with responsibilities spanning member assessment, care coordination, and education to promote quality, cost-effective care.

Ideal candidates hold RN, RD, or LCSW licensure with 3+ years of clinical/care coordination experience; an MSW with 5+ years may qualify for select positions.