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
- Conduct in-depth telephonic assessments of patients’ clinical, functional, psychosocial, and vocational needs
- Review medical records, claims data, and treatment plans to identify risks and opportunities for intervention
- Develop individualized, goal-oriented Case Management plans with measurable outcomes
Care Coordination & Clinical Oversight
- Coordinate care across providers, facilities, and support services to ensure appropriate, cost-effective treatment
- Perform utilization review and apply evidence-based criteria to support level-of-care recommendations
- Collaborate with physicians, clients, and interdisciplinary teams on complex or non-standard cases
- Identify alternative treatment options and Centers of Excellence when appropriate
Patient Education & Advocacy
- Educate patients on diagnoses, treatment options, medications, and lifestyle modifications
- Provide ongoing coaching to improve compliance, self-management, and overall health outcomes
- Address psychosocial barriers and connect patients to community and support resources
Ongoing Monitoring & Evaluation
- Maintain regular contact with patients and care teams to assess progress and adjust care plans
- Evaluate treatment effectiveness, patient engagement, and goal achievement
- Identify and document outcomes, including cost savings, barriers, and patient satisfaction
Documentation & Communication
- Maintain timely, accurate, and compliant documentation of all case activities
- Prepare case summaries, client reports, and authorization communications
- Track billable time and adhere to regulatory, accreditation, and HIPAA standards
Why Join Us?
- Work-Life Balance: Monday through Friday with weekends and holidays off!
- Daytime Hours: Enjoy a manageable schedule of 8 hours/day, 5 days/week, 8:30am-5:30pm ET.
- Remote Flexibility: Work from the comfort of your home.
- 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
- Active, unrestricted RN compact license AND one of the following:
- Certification as a Case Manager.
- Minimum of three years of direct clinical patient care experience.
Skills & Abilities
- Exceptional verbal and written communication skills.
- Strong problem-solving and decision-making abilities.
- Ability to manage multiple cases and prioritize effectively.
- Self-motivated and capable of managing responsibilities independently.
- Proficiency in Microsoft Outlook and basic computer skills
Technical Requirements
- Reliable high-speed internet (minimum 25 Mbps download / 25 Mbps upload)
What We Offer:
- Competitive salary based on experience.
- Remote work flexibility
- Supportive, collaborative team environment.
- 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.