Remote CCM Case Manager: Care Coordination & Advocacy

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

Benefits offered by this job

Medical, dental, and vision benefits

Paid time off (vacation, holidays)

401(k) plan participation

Job summary

Oscar Health, Inc. is seeking a CCM Case Manager to coordinate comprehensive member care, educate on health conditions, and address Social Determinants of Health. You will work across Oscar teams, reporting to the Manager, Clinical Program, and support care plans that improve outcomes.

The role is fully remote for U.S. residents (excluding listed states) with occasional travel for meetings and events. Strong clinical care management experience and RN licensure or MSW qualifications are required.

Qualifications

• 2+ years of clinical experience including hospital, outpatient, or community-based care management.
• 2+ years of experience working directly with patients with chronic conditions (e.g., diabetes, COPD, hypertension).
• 1+ years of experience in Care Coordination and Navigation.
• Active, unrestricted RN licensure in the United States or an MSW degree from a Nationally Accredited School.

Responsibilities

• Coordinate care across inpatient, outpatient, ER, and home care settings while maintaining confidentiality and professional standards.
• Partner with members and providers to create personalized care plans and improve outcomes.
• Assess Social Determinants of Health (SDOH) and connect members with community resources.
• Provide crisis intervention and advocate for members to remove barriers to care and adherence.
• Educate members via phone, messaging, or in person on health conditions, discharges, procedures, and medications.
• Ensure compliance with applicable laws and regulations.

Skills

Clinical experience

Care coordination

RN licensure

MSW degree

Education

RN licensure United States or MSW

MSW from accredited school

Job description

Oscar Health, Inc. is seeking a CCM Case Manager to coordinate comprehensive member care, educate on health conditions, and address Social Determinants of Health. You will work across Oscar teams, reporting to the Manager, Clinical Program, and support care plans that improve outcomes.

The role is fully remote for U.S. residents (excluding listed states) with occasional travel for meetings and events. Strong clinical care management experience and RN licensure or MSW qualifications are required.