Back to Jobs

RN Case Manager – Special Needs Plan, Bilingual Preferred

Remote, USA Full-time Posted 2026-06-21

Job Description:

  • Provide telephonic case management to medically complex and chronically ill members
  • Conduct comprehensive health assessments and create individualized care plans
  • Coordinate care with internal and external partners, including physicians and specialists
  • Educate members and caregivers on disease management and preventive care
  • Monitor member progress and advocate for timely, appropriate interventions
  • Identify and help resolve service or access issues impacting care quality

Requirements:

  • Active, unrestricted RN license in California (Non-Compact)
  • Minimum 2 years of clinical nursing experience
  • At least 1 year of case management experience
  • Proficiency with Microsoft Office (Word, Excel, Outlook)
  • Bilingual (Spanish, Korean, Mandarin, etc.) (Nice-to-Have)
  • Previous health plan or IPA experience (Nice-to-Have)
  • Bachelor's Degree in Nursing (BSN) (Nice-to-Have)

Benefits:

  • Competitive compensation
  • Full suite of health benefits (medical, dental, vision)
  • 401(k) with employer match
  • Generous PTO and paid holidays
  • Career growth and continuing education support
  • Rewarding referral bonuses for successful hires

Apply tot his job Apply To this Job

Similar Jobs

Enhanced Case Management Advocate

Remote, USA Full-time

Case Manager - Registered Nurse (EST)

Remote, USA Full-time

Clinical Case Manager - OC Interim Housing (JR 5280)

Remote, USA Full-time

Inpatient Case Manager-RN

Remote, USA Full-time

REMOTE - Registered Nurse (RN) Utilization Reviewer - Massachusetts ONLY

Remote, USA Full-time

Lead Clinical Review Nurse, OH FL IN

Remote, USA Full-time

Utilization Management Behavioral Health Registered Nurse, Multistate PT

Remote, USA Full-time

Utilization Review Assistant (Workers Compensation)

Remote, USA Full-time

[Hiring] RN Utilization Review @Providence

Remote, USA Full-time

Registered Nurse- Medical Review & Quality

Remote, USA Full-time

Steuerfachkraft (m/w/d) in Wedemark mindestens 52.000€ - 100% Remote möglich

Remote, USA Full-time

Intern - Business Operations Analyst (UAE Nationals Only)

Remote, USA Full-time

Data Entry Remote Jobs at bolthires $25/Hour – Work from Home

Remote, USA Full-time

Senior Product Designer (6-month Contract)

Remote, USA Full-time

Experienced Data Entry Specialist – Remote Opportunity at arenaflex in UAE

Remote, USA Full-time

Experienced Remote Data Entry Specialist – Confidentiality, Integrity, and Attention to Detail

Remote, USA Full-time

Remote Operations Center Specialist (Live Studio Production & Broadcast - Sports & Entertainment)

Remote, USA Full-time

Sr. Java Programmer (Strictly Local Candidates ONLY)(Remote during COVID)

Remote, USA Full-time

Experienced Full Stack Call Center Representative – Data Entry and Customer Service

Remote, USA Full-time

AI Fraud and Risk Automation Analyst (Remote)

Remote, USA Full-time