Remote RN Case Manager (MI RNs only)

Job Title: RN Case Manager
Location: 100% Remote
Duration: 12+ months
License Required: Active & unrestricted Michigan RN license

The RN Case Manager serves as the primary point of contact for members, caregivers, and providers, coordinating a multidisciplinary team to deliver holistic, person-centered care. Using telephonic and digital communication, the RN leads assessment, care planning, implementation, and ongoing evaluation to support improved health outcomes across the care continuum.

Key Responsibilities

· Coordinate a multidisciplinary team (Social Workers, Dietitians, Pharmacists, Clinical Staff, Medical Directors) to meet member needs.

· Use the case management process to assess, develop, implement, and evaluate individualized care plans.

· Assess health, psychosocial needs, cultural preferences, and support systems.

· Engage members/caregivers to identify barriers, close care gaps, and promote self-management.

· Connect members with community, behavioral health, financial, and disease-specific resources.

· Coordinate care among providers, agencies, and family supports.

· Educate members on health literacy, self-care skills, medication adherence, and nutrition.

· Monitor progress toward goals and adjust care plans as needed.

· Support safe transitions of care, including discharge preparation and follow-up education.

· Arrange DME and transportation as needed and document all interactions accurately.

· Maintain adherence to protocols, productivity, and quality standards; pursue ongoing professional development.



Education & Experience

· Nursing Diploma or Associate Degree required; BSN preferred.

· 3 years of clinical nursing experience in acute/post-acute/community settings required.

· 1 year of case management experience in managed care preferred.

· Experience providing telephonic or digital care preferred.

Licenses & Certifications

· Active, unrestricted Michigan RN license required.

· CCM required or to be obtained within 18 months of hire.

· CCP certification preferred.

Skills & Competencies

· Strong critical thinking, decision-making, and problem-solving abilities.

· Empathetic communicator with solid motivational interviewing skills.

· Excellent time management, organization, and ability to work across multiple systems.

· Proficient in Microsoft Office and digital communication platforms.

· Effective independently and in team-based environments; strong verbal and written communication