Remote RN Case Manager - Care Coordination & Outcomes

Univera Healthcare; United States; Hybrid; USD 62,000 - 107,000; Full time

Job summary

Univera Healthcare is seeking a dedicated Case Manager to conduct program activities aligned with CMS/NCQA standards and NYS DOH requirements. You will identify eligible members, coordinate care, educate, and support them through collaboration with providers and community resources.

The role involves working with an interdisciplinary team to develop comprehensive care plans, addressing member needs, health goals, and cost drivers while maintaining privacy and regulatory compliance.

Qualifications

• Associates degree required; bachelor’s degree preferred.
• Active NYS RN or Registered Dietician or Physical Therapist licensure required.
• Minimum of three years of clinical experience; CM experience preferred.
• Proficiency with Microsoft Office Suite.

Responsibilities

• Conduct CM activities per standards.
• Collaborate with providers and community resources.
• Develop and implement comprehensive care plans.
• Educate and support members and caregivers.

Skills

Case management

Regulatory knowledge

Communication skills

Multitasking

Interdisciplinary collaboration

Education

Associates degree

Bachelor’s degree preferred

NYS licenses (RN/RD/PT)

Case Management Certification

Tools

Microsoft Office Suite

Job description

Univera Healthcare is seeking a dedicated Case Manager to conduct program activities aligned with CMS/NCQA standards and NYS DOH requirements. You will identify eligible members, coordinate care, educate, and support them through collaboration with providers and community resources.

The role involves working with an interdisciplinary team to develop comprehensive care plans, addressing member needs, health goals, and cost drivers while maintaining privacy and regulatory compliance.