Transitions of Care RN Case Manager

Devoted Health

RN Case Manager providing telephonic, interdisciplinary care management for newly discharged patients. Advocating and coordinating care to support better health outcomes for high-risk patients.

Posted 5/6/2026full-timeRemote • Arizona, Colorado, Oregon, Washington • 🇺🇸 United StatesMid-LevelSenior💰 $85,000 - $100,000 per yearWebsite

About the role

Key responsibilities & impact

Engaging with our newly discharged patients telephonically to understand their needs, supported by technology and data tools.
Conducting assessments to identify comorbid conditions, ED/hospitalization history, medications, psychosocial factors, and patient values and preferences.
Developing care plans in partnership with patients and their caregivers - problems, goals, interventions - while continuously evaluating the patient’s progress.
Explaining complicated medical terms in plain language.
Educating patients on their chronic conditions including teaching “red flags,” developing plans during an exacerbation, and identifying barriers to important care elements such as medication adherence.
Partnering with the TOC Nurse Practitioners and Physicians to ensure smooth handoffs, comprehensive follow-up, and coordinated care during the post-discharge period.
Referring patients to Devoted Medical when applicable and working closely on partnering for patient care.
Working closely with Devoted Community Guides (locally-based social workers) to identify community-based organizations to support our patients in meeting their goals.
Coordinating post-treatment care and DME needs.
Collaborating closely with our PCP partners, to coordinate care and deliver evidence based, effective, and accessible health care.

Requirements

What you’ll need

An unrestricted Compact RN license obtained in the United States with the ability to secure other licensure states
3-4 Years of Experience of RN Care Management/telephonic case management experience

Benefits

Comp & perks

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

care managementtelephonic case managementpatient assessmentscare plan developmentpatient educationmedication adherencechronic condition managementcoordinated careevidence-based healthcare

Soft Skills

communicationcollaborationinterpersonal skillsproblem-solvingpatient advocacy

Certifications

unrestricted Compact RN license