Job Description
Are you a compassionate and experienced registered nurse passionate about making a real difference in patients' lives? We are seeking a dedicated RN Healthcare Case Manager to provide personalized, coordinated care to individuals with complex healthcare needs. In this vital role, you will act as a clinical guide—empowering members through education, advocacy, and resource coordination—helping them achieve their health goals every day. This is a unique opportunity to contribute meaningfully while working remotely in a supportive, dynamic environment.
Key Responsibilities - Conduct comprehensive clinical assessments to evaluate patient needs and develop tailored care plans
- Coordinate services across multidisciplinary teams to ensure seamless, continuous care delivery
- Educate members and their families on treatment plans, health management, and adherence strategies
- Monitor patient progress, adjusting care strategies as needed to meet changing health requirements
- Maintain compliance with case management principles, regulatory standards, and NCQA requirements
- Document all interactions and care plans accurately in healthcare databases, ensuring organizational and regulatory standards are upheld
Requirements - Minimum of 2 years of RN experience in inpatient, outpatient, or other healthcare settings
- Active RN licensure in Massachusetts
- Proficiency in electronic health record documentation systems
- Excellent verbal communication skills and comfort working via phone
- Must reside in Massachusetts; this is a fully remote role within the state
Nice-to-Have Skills - Prior case management or care management experience
- Experience working with diverse populations and individuals with complex needs
- Knowledge of social determinants of health and strategies to address care disparities
Preferred Education And Experience - Bachelor's degree in Nursing (BSN) preferred
- Certifications such as CCM (Case Management Certification), CDE (Certified Diabetes Educator), or Wellcoach are advantageous
There are no costs for candidates utilizing our services as our clients pay for all related hiring fees. All ProPivotal job postings are either actual positions we had available at the time of posting and/or are representative of positions we typically fill or expect to fill. If you see a job that interests you, respond to the ad or give us a call so that we can help you find a job you'll love. As one of the area's largest staffing firms, we help 2,500 people find jobs a year so chances are good that we can help you too. ProPivotal is an equal opportunity employer and considers qualified applicants for employment regardless of race, gender, gender identity, gender expression, age, color, religion, disability, veteran's status, sexual orientation, or any other protected factor.
Job Tags
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