Are you a dedicated RN looking for a full-time, fully remote opportunity? We are seeking talented Registered Nurses to join our telephonic case management team. In this role, you will go beyond basic care coordination-serving as a clinical advocate, educator, and strategic partner in managing complex and high-risk cases. This flexible role allows you to work from the comfort of your home while making a meaningful impact on patients' lives.
Who We Are:
HealthCare Strategies has been a trusted leader in healthcare management since 1982, delivering innovative, patient-centered solutions that drive better outcomes and lower costs. We go beyond traditional cost management to provide high-quality care coordination that truly makes a difference. Join a team where innovation, compassion, and excellence are at the heart of everything we do!
What You'll Do:
As a Remote Case Manager, you will manage a caseload of members with acute, chronic, and/or catastrophic conditions. Your responsibilities will include:
Comprehensive Assessment & Planning
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Conduct in-depth telephonic assessments of patients’ clinical, functional, psychosocial, and vocational needs
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Review medical records, claims data, and treatment plans to identify risks and opportunities for intervention
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Develop individualized, goal-oriented Case Management plans with measurable outcomes
Care Coordination & Clinical Oversight
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Coordinate care across providers, facilities, and support services to ensure appropriate, cost-effective treatment
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Perform utilization review and apply evidence-based criteria to support level-of-care recommendations
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Collaborate with physicians, clients, and interdisciplinary teams on complex or non-standard cases
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Identify alternative treatment options and Centers of Excellence when appropriate
Patient Education & Advocacy
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Educate patients on diagnoses, treatment options, medications, and lifestyle modifications
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Provide ongoing coaching to improve compliance, self-management, and overall health outcomes
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Address psychosocial barriers and connect patients to community and support resources
Ongoing Monitoring & Evaluation
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Maintain regular contact with patients and care teams to assess progress and adjust care plans
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Evaluate treatment effectiveness, patient engagement, and goal achievement
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Identify and document outcomes, including cost savings, barriers, and patient satisfaction
Documentation & Communication
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Maintain timely, accurate, and compliant documentation of all case activities
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Prepare case summaries, client reports, and authorization communications
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Track billable time and adhere to regulatory, accreditation, and HIPAA standards
Why Join Us?
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Work-Life Balance: Monday through Friday with weekends and holidays off!
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Daytime Hours: Enjoy a manageable schedule of 8 hours/day, 5 days/week, 8:30am-5:30pm ET.
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Remote Flexibility: Work from the comfort of your home.
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Meaningful Work: Coordinate cost-effective care, manage cases involving catastrophic injuries and acute illnesses, and educate patients to improve health outcomes.
What We’re Looking For:
Education & Experience
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Active, unrestricted RN compact license AND one of the following:
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Certification as a Case Manager.
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Minimum of three years of direct clinical patient care experience.
Skills & Abilities
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Exceptional verbal and written communication skills.
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Strong problem-solving and decision-making abilities.
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Ability to manage multiple cases and prioritize effectively.
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Self-motivated and capable of managing responsibilities independently.
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Proficiency in Microsoft Outlook and basic computer skills
Technical Requirements
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Reliable high-speed internet (minimum 25 Mbps download / 25 Mbps upload)
What We Offer:
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Competitive salary based on experience.
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Remote work flexibility
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Supportive, collaborative team environment.
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The opportunity to make a real difference in patient's lives.
If you are passionate about providing exceptional case management and thrive in a dynamic, remote environment, we encourage you to apply and join our team.
