Remote RN Care Specialist - Telephonic Case Management

Sagility

Charlotte (NC)

Remote

USD 42,000 - 60,000

Part time

6 days ago

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Job summary

Sagility is seeking a Senior Care Specialist (Registered Nurse) to conduct telephonic health assessments and develop individualized care plans for members enrolled in Medicare, Medicaid, or group plans. This remote, seasonal role offers the flexibility to work from home while applying clinical expertise to support transitions of care and chronic condition management.

Ideal candidates hold an active RN license, a Compact RN license, and 2+ years of clinical nursing experience, with strong

Qualifications

Active, unrestricted RN license in the state of residence.
Active Compact RN license enabling practice in applicable states.
Minimum of 2 years of clinical nursing experience; 3+ years preferred.
Strong clinical judgment, critical-thinking, and problem-solving skills.
Ability to work independently and exercise appropriate nursing judgment in a remote environment.
Intermediate to advanced computer proficiency, including Word, Excel, and Outlook.
Ability to efficiently navigate multiple computer systems and electronic medical records.
Strong verbal and written communication skills.

Responsibilities

Conduct telephonic health assessments for Medicare, Medicaid, and/or group health plan members.
Develop actionable, individualized, and measurable care plans based on member needs and identified health risks.
Establish health coaching relationships with members and provide education, encouragement, and support related to chronic condition management.
Use clinical nursing judgment to assess member needs and coordinate appropriate interventions for acute situations.
Support transitions of care and safe discharge planning, including coordination of DME, home health services, and provider appointments.
Help members and caregivers navigate healthcare benefits, services, and available care options.
Assess physical, environmental, and psychosocial factors that may affect a member's health and overall well-being.
Collaborate with multidisciplinary teams, including social workers, dietitians, pharmacists, providers, and other healthcare professionals.
Promote member self-management by providing education and resources appropriate to individual health conditions and goals.
Coordinate care and condition-management activities among members, caregivers, providers, and other team members.
Document member interactions, assessments, care plans, interventions, and outcomes accurately in applicable systems.