Remote RN Case Manager for Care Coordination

GlobalHealth; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Job summary

GlobalHealth is seeking a remote Case Manager RN in Oklahoma to manage care for high-risk Medicare Advantage members. Under supervision of Care Management, you will coordinate services, assess needs, and advocate for optimal outcomes while maintaining HIPAA compliant practices.

You will educate members and caregivers, collaborate with providers, and participate in SNP MOC activities. Oklahoma licensure is required; multi-state license is a plus; remote work requires reliable internet.

Qualifications

• Active RN license in Oklahoma is required.
• Multi-state RN license is preferred.
• Experience in managed care/utilization management is preferred.

Responsibilities

• Conducts telephonic care management for high-risk members.
• Coordinates with healthcare providers to plan and monitor care.
• Educates members and caregivers on conditions and self-management.
• Advocates for members and ensures appropriate access to follow-up care.

Skills

Nursing knowledge

Communication skills

Time management

Microsoft Office

Education

Oklahoma RN license

Multi-state RN license preferred

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

GlobalHealth is seeking a remote Case Manager RN in Oklahoma to manage care for high-risk Medicare Advantage members. Under supervision of Care Management, you will coordinate services, assess needs, and advocate for optimal outcomes while maintaining HIPAA compliant practices.

You will educate members and caregivers, collaborate with providers, and participate in SNP MOC activities. Oklahoma licensure is required; multi-state license is a plus; remote work requires reliable internet.