RN Case Manager (100% remote; MI RN License 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.

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.

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.