RN Case Manager

Medica

RN Case Manager providing evidence-based care for high-need members in a nonprofit health plan. Collaborating with interdisciplinary teams and coordinating care across the healthcare continuum.

Posted 4/15/2026full-timeRemote • Arizona, Florida, Illinois, Iowa, Kansas, Kentucky, Minnesota, Missouri, Montana, New York, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, Virginia, Wisconsin • 🇺🇸 United StatesMid-LevelSenior💰 $72,100 - $97,850 per yearWebsite

About the role

Key responsibilities & impact

Provide a member-centric, evidence-based model of care across multiple products
Conduct comprehensive assessments
Develop, implement, and monitor individualized care plans
Coordinate services across the healthcare continuum

Requirements

What you’ll need

Associate's degree in Nursing or equivalent work experience in related field, plus 5 years of work experience beyond degree of clinical/acute care nursing
Current, unrestricted RN license in the state of residence
Certified Case Manager (CCM) preferred, or ability and commitment to obtain within two years of hire
Experience working with vulnerable and complex populations, including multiple age groups, ethnic and socioeconomic backgrounds provided in a clinical, home care or telephonic environment; direct case management experience strongly preferred
Knowledge of managed care principles and regulatory guidelines preferred
Proficiency in electronic health records and care management software

Benefits

Comp & perks

Competitive medical, dental, vision
PTO
Holidays
Paid volunteer time off
401K contributions
Caregiver services
Generous total rewards package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical nursingacute care nursingcase managementcomprehensive assessmentsindividualized care plansmanaged care principlesregulatory guidelineselectronic health recordscare management software

Soft Skills

member-centric carecoordination of servicesworking with vulnerable populationscommunication skillsorganizational skills

Certifications

RN licenseCertified Case Manager (CCM)