Remote RN Case Manager

Responsibilities

• Build meaningful relationships with patients and families, understanding their goals, barriers, and motivators.
• Create personalized care plans that go beyond diagnoses, addressing social determinants and emotional well-being.
• Coordinate care across providers and settings, ensuring safety, quality, and continuity.
• Educate and empower members to make informed decisions and navigate the healthcare system confidently.
• Collaborate with an interdisciplinary team, sharing insights and advocating for whole-person health.
• Use data as a tool for insight-not the driver of care-to identify opportunities and measure impact while keeping the patient at the center.
• Maintain compliance with regulatory standards while prioritizing compassion and connection.
• What you'll need for success:
• Active RN license
• Delegated Services - Illinois licensure required
• Employee Health Plans - Compact licensure and/or single-state license where permitted
• Value-Based Care - Compact licensure and/or single-state license where permitted
• Strong background in care management as well as complex and chronic condition management
• Skilled in motivational interviewing, patient education, and patient advocacy
• Ability to work independently in a remote environment while staying connected to the team
• Comfort with technology and multiple EMR systems
• SPECIALTY QUALIFICATIONS
• Minimum of five (5) years of clinical experience across diverse healthcare settings
• Behavioral Health:
• Requires advanced knowledge in psychiatric conditions, crisis intervention, and therapeutic communication and/or
• Pediatrics:
• Clinical expertise in managing medically fragile children, technology-dependent care, and family-centered approaches and/or
• Maternal-Fetal Health (Obstetrics):
• Clinical expertise in managing labor and delivery, preferably a high-risk patient population, fetal monitoring, and assessing for and identifying emergency obstetric interventions
• PREFERRED QUALIFICATIONS & CERTIFICATIONS CONSIDERED
• Compact License
• Bachelor's Degree (Registered Nurse)
• Master's Degree (Social Worker)
• Licensed Clinical Social Worker (Social Worker)
• Specialty Certification in Care Management (CCM)
• Psychiatric-Mental Health Nursing (RN-BC), for behavioral health specific roles
• Certified Pediatric Nurse (CPN) and/or Pediatric Critical Care Registered Nurse (CCRN), for pediatric specific roles
• Certified Obstetric Nurse (RNC-OB) and/or Certified Maternal Newborn Nurse (RNC-MNN)
• Multi-Lingual
• The salary range for this role is $80,000.00 to $83,000.00
• ALIVE with Purpose: How We Thrive at Guidehealth
• At Guidehealth, our values come to life in everything we do.
• We are Driven by A ccountability - grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.
• Always Growing, Always L earning - staying curious and continuously improving inspires us to shape a better future for healthcare.
• With Collaborative I nnovation, we solve problems creatively, making every experience better for our employees and the patients we serve.
• At Guidehealth, Every V oice Matters - we believe our collective strength is rooted in the unique perspectives of each team member.
• And through E mpathy in Action, we build stronger connections with those who count on us.
• This is what it means to be ALIVE with purpose. This is how we thrive - together - at Guidehealth.

Benefits

Additional Information

Job Description As a Care Manager, you will be a trusted guide for patients and families navigating complex health journeys. This role blends your clinical expertise with a holistic approach to care, addressing medical, behavioral, and social needs. You'll work remotely, but your impact will be deeply personal, helping members achieve wellness and autonomy through education, support, and compassionate coordination

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