Remote RN Case Manager: Care Coordination & Outcomes

ZP Group; United States; Remote; USD 34,000 - 48,000; Full time

Job summary

Piper Companies is seeking a Case Manager (RN) to join a leading health insurance organization in a remote role based in North Carolina. The role partners with members, providers, and care teams to coordinate services and improve outcomes.

The ideal candidate holds an active North Carolina RN license with 3+ years in clinical nursing or case management, including telephonic experience in managed care, and can work independently from a remote setting.

Qualifications

• Active RN license in good standing (NC or Compact).
• 3+ years in clinical nursing and/or case management.
• Experience with Medicare/Medicaid populations or payer environments is preferred.
• Remote work capability with independent work style.

Responsibilities

• Conduct comprehensive clinical assessments and develop care plans.
• Coordinate services across hospitals, clinics, rehab facilities, SNFs, and home care.
• Maintain ongoing communication with members and care teams to evaluate progress.
• Educate members on treatment options, benefits, resources, and preventive care.
• Accurately document activities and ensure regulatory compliance.

Skills

Care coordination

Clinical documentation

Communication

Member engagement

Telephonic case management

Education

Registered Nurse (RN) licensure

Job description

Piper Companies is seeking a Case Manager (RN) to join a leading health insurance organization in a remote role based in North Carolina. The role partners with members, providers, and care teams to coordinate services and improve outcomes.

The ideal candidate holds an active North Carolina RN license with 3+ years in clinical nursing or case management, including telephonic experience in managed care, and can work independently from a remote setting.