Job Title: Remote RN Case Manager
Location: Detroit, MI (Fully Remote)
Pay Range: $37.00–$38.00/hour + Benefits
Overview
We are seeking an experienced and compassionate RN Case Manager to support members with complex medical, behavioral, and social needs through a comprehensive care management program. In this fully remote role, you will serve as the primary point of contact for members, caregivers, and providers while coordinating personalized care plans designed to improve health outcomes across the continuum of care.
Working alongside a multidisciplinary team that may include Social Workers, Dietitians, Pharmacists, Clinical Support Staff, and Medical Directors, you will help members navigate the healthcare system, address barriers to care, and connect with appropriate resources and services.
Key Responsibilities
- Conduct comprehensive assessments of members' medical, behavioral, psychosocial, and support needs.
- Develop, implement, and monitor individualized care plans.
- Coordinate care among providers, community resources, caregivers, and family members.
- Identify and address barriers to care, gaps in treatment, and social determinants of health.
- Educate members on disease management, medications, nutrition, and self-care strategies.
- Support hospital discharge planning and transitions of care.
- Arrange community resources, transportation, durable medical equipment, and supportive services.
- Advocate for members and encourage self-management and health literacy.
- Maintain accurate documentation of all member interactions and care activities.
- Meet quality, productivity, and compliance standards in a remote environment.
Required Qualifications
- Active, unrestricted Michigan Registered Nurse (RN) license.
- Associate Degree or Diploma in Nursing.
- Minimum of 3 years of clinical nursing experience in acute care, post-acute care, community health, or related settings.
- Strong critical thinking, assessment, and care coordination skills.
- Excellent communication and interpersonal abilities.
- Proficiency with Microsoft Office applications and computer-based documentation systems.
- Ability to manage multiple systems and priorities while working independently.
Preferred Qualifications
- Bachelor's Degree in Nursing (BSN).
- Previous experience in case management, care coordination, utilization management, or managed care.
- Experience providing telephonic or virtual care management.
- Certified Case Manager (CCM) certification.
- Chronic Care Professional (CCP) certification.
Benefits
- Medical, dental, and vision insurance
- 401(k) participation
- Paid time off
- Comprehensive benefits package
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