Role Description The Nurse Case Manager serves as a customer advocate, partnering with members, families, and providers to coordinate care and support navigation of the healthcare system. This role focuses on whole-person health, behavior change, and delivering high-quality, customer-centered outcomes aligned with Care Solutions cultural beliefs. Position Scope

• Hours for the position: Must be able to work an 8-hour shift between the business hours of 9a-9p EST.
• Flexibility is required to meet business needs.
• Must be open to work evenings.

Key Responsibilities

• Partner with customers to develop, implement, and document individualized care plans.
• Use motivational interviewing, behavior change strategies, and shared decision-making to support health goals.
• Coordinate care with providers, caregivers, and internal clinical partners to support whole-person health.
• Engage customers through telephonic, digital, and written communication channels.
• Track and document activities, outcomes, and progress in medical management systems.
• Follow standard operating procedures and meet defined case management performance measures.
• Maintain clinical expertise through required training and continuing education.

Qualifications

• Active, unrestricted Registered Nurse (RN) license in a U.S. state or territory.
• Minimum of two (2) years of full-time direct patient care experience as an RN.
• Nursing degree from an accredited nursing program.
• Ability to work an 8-hour shift between 9:00 a.m. and 9:00 p.m. EST, including evenings as business needs require.
• Strong communication skills across telephonic and digital platforms.
• Proficiency with Microsoft Word, Excel, Outlook, and clinical documentation systems.

Preferred Qualifications

• Case management certification (URAC-recognized) obtained within four (4) years of hire.
• Experience working in remote, telephonic, or digital care management environments.
• Strong organizational skills with the ability to manage multiple priorities in a fast-paced setting.
• Demonstrated ability to work effectively with culturally diverse populations.
• Flexibility to support non-standard shifts or occasional on-site meetings or audits.

Requirements

• If working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Benefits

• Comprehensive range of benefits focused on supporting whole health.
• Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment.
• 401(k) plan.
• Company paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year and paid holidays.
• Annual salary range of 77,500 - 129,100 USD, depending on relevant factors.
• Eligibility to participate in an annual bonus plan.