Guide Healthcare

RN Case Manager

Guide Healthcare

full-time

Posted on:

Location Type: Remote

Location: Remote • 🇬🇦 Gabon

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Salary

💰 $80,000 - $83,000 per year

Job Level

Mid-LevelSenior

About the role

  • Conducting in-depth telephonic assessments to understand each patient’s medical, psychosocial, and social needs.
  • Reviewing and updating medical histories—including medications, chronic conditions, and preventive care.
  • Developing individualized care plans and guiding patients through their treatment goals and care options.
  • Providing empathetic, evidence-based education on chronic disease management and preventive health.
  • Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers.
  • Completing Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision.
  • Partnering with Healthguides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources.
  • Performing proactive outreach and timely follow-ups to maintain continuity of care and patient engagement.
  • Advocating for patients, helping them access the right resources at the right time.
  • Documenting clearly and accurately in the EHR and care-management systems during and after calls.
  • Supporting quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions.
  • Participating in virtual meetings, ongoing education, and clinical training to stay current with care standards.
  • Using multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reach high-risk patients.
  • Collaborating in AI-driven outreach programs that help connect with vulnerable populations.

Requirements

  • Active Compact Registered Nurse license in good standing is required.
  • 3+ years of RN Case Management experience, preferably in outpatient or ambulatory care.
  • Strong critical-thinking and problem-solving skills to anticipate barriers and drive care forward.
  • Ability to work independently, manage multiple priorities, and make sound clinical decisions remotely.
  • Outstanding communication—warm, clear, confident, and patient-focused.
  • Excellent telephonic interviewing skills and the ability to document accurately in real time.
  • High comfort level with technology: EMRs, care-management systems, multi-screen workflow, Microsoft Office, and telecommunication tools.
  • Understanding of accreditation and quality standards (NCQA, HEDIS).
Benefits
  • Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs.
  • Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered.
  • Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution.
  • Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments.
  • Additionally, we offer voluntary Life options to keep you and your loved ones protected.
  • Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times.
  • Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals.
  • Support Your New Family: Guidehealth offers paid parental leave to give you the time you need.
  • Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us.

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
RN Case Managementtelephonic assessmentschronic disease managementpreventive healthcare plansEHR documentationMedicare Annual Wellness Visitspatient engagementquality outcomes managementclinical training
Soft skills
critical-thinkingproblem-solvingindependent workmulti-priority managementclinical decision-makingcommunicationtelephonic interviewingempathyadvocacycollaboration
Certifications
Compact Registered Nurse license