RN Case Manager Remote

As an RN Case Manager you will partner with clinical teams to provide complex case management and strengthen the connection between the patient the primary care physician/medical practice staff and the patients care team. The Registered Nurse (RN) Case Manager is responsible for a specific patient population experiencing complex medical conditions socio-economic and/or mental health co-morbidities. The RN Case Manager will optimize the patients health status through assessment planning implementation coordination monitoring and evaluation of the options and services available to the patient. The RN Case Manager collaborates with their assigned Healthguides to achieve optimal quality clinical and financial outcomes. This is primarily a remote position that will require travel as needed (10%-15%) to clinical sites in the Atlanta GA area.

What youll be doing:

• Conducting in-depth telephonic assessments to understand each patients medical psychosocial and social needs.
• Reviewing and updating medical historiesincluding 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 such as 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.
• Protecting patient privacy in a secure private home workspace.
• Performing additional responsibilities as needed to support patients and the care team.

Qualifications :

What youll need for success:

• Licensed Registered Nurse in good standing in the State of Georgia with a compact license.
• 3 years of RN Case Management experience in an outpatient setting.
• Bachelor of Science in Nursing preferred.
• Certification in Case Management preferred.
• Strong problem-solving skills to diagnose troubleshoot and resolve barriers to patient care workflows and care plan progression.
• Ability to analyze complex healthcare challenges and implement effective solutions while maintaining compliance within a high-regulation healthcare environment.
• Ability to manage multiple priorities meet deadlines and work independently in a fast-paced environment ensuring timely and efficient case management.
• Exceptional written visual and verbal communication skills.
• Ability to participate in virtual meetings with clear verbal communication engaging effectively with healthcare teams patients and stakeholders.
• Exceptional conversational skills and the ability to precisely document patient interviews leveraging software in real time.
• Strong interpersonal skills with a focus on empathy patience professionalism and respect in all patient team and client interactions.
• Demonstrated competency and ability to independently navigate technology using multiple platforms computer screens and other technical components (i.e. Electronic Medical Records care management analytics databases phone dialing system Microsoft Office).
• Ability to meet accreditation and quality standards including but not limited to NCQA and HEDIS.
• Observance of patient confidentiality through the use of the provided headset during all conversations in a private home office without distraction.
• Compliance with all Guidehealth policies and procedures.

What wed love for you to have:

• BSN and Case Management certification preferred.

Additional Information :

The salary range for this role is $80000.00 to $83000.00

ALIVE with Purpose: How We Thrive at Guidehealth 

At Guidehealth our values come to life in everything we do. 

• We are Driven by Accountability grounded in transparency reliability and integrity as we navigate challenges and opportunities alike. 
• Always Growing Always Learning staying curious and continuously improving inspires us to shape a better future for healthcare. 
• With Collaborative Innovation we solve problems creatively making every experience better for our employees and the patients we serve. 
• At Guidehealth Every Voice Matters we believe our collective strength is rooted in the unique perspectives of each team member. 
• And through Empathy in Action we build stronger connections with those who count on us. 
• This is what it means to be ALIVE with purpose. This is how we thrive together at Guidehealth. 

BENEFITS:

While you are hard at work advancing value-based healthcare we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:

• 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: Welcoming a new family member takes time and commitment. 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.

All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.

COMPENSATION:

The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include but are not limited to: skill set years of relevant experience education location and licensure/certifications.

OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT 

Diversity inclusion and belonging are at the core of Guidehealths values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religious creed color age sex sexual orientation and identity national origin citizenship religion marital status familial status physical sensory or medical disability Family and Medical Leave military or veteran status pregnancy childbirth or other related medical conditions or any other classification protected by federal state and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring placement promotion transfer demotion layoff termination recruitment advertising pay and other forms of compensation training and general treatment during employment. 

OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealths custodianship as well as Guidehealth Intellectual Properties.  For any security-specific roles the responsibilities would be further defined by the hiring manager. 

As a remote-first organization handling sensitive healthcare data Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy data security and compliance requirements.

REMOTE WORK TECHNICAL REQUIREMENTS

Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. 

SECONDARY EMPLOYMENT

At Guidehealth we value transparency and collaboration as part of our commitment to excellence. As your primary employer we kindly ask all team members to disclose any secondary employment regardless of whether it may present a potential conflict of interest. 

To ensure smooth teamwork and availability employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.

Remote Work :

Yes

Employment Type :

Full-time