RN Case Manager Remote

Job Description

Helping patients feel supported, heard, and guided—right from your home.

At Guidehealth, we’re transforming how patients experience healthcare by combining clinical expertise with compassionate, person-centered support. As a Remote RN Case Manager, you’ll build trusted relationships with patients by phone, helping them navigate complex health needs, understand their care plans, and improve their overall well-being.

If you’re a nurse who loves making a direct impact—without the physical demands of bedside care—this role offers the meaningful patient connection you’re looking for.

This is a primarily remote role with 10–15% local travel to clinical sites in your hiring area.

• Conducting in-depth telephonic assessments to understand each patient’s medical, psychosocial, and social needs.
• Reviewing and updating medical histories—including medications, chronic conditions, and preventive care.
• Developing individualized care plans and guiding patients through their treatment goals and care options.
• Providing empathetic, evidence-based education on chronic disease management and preventive health.
• Monitoring progress by phone, adjusting care plans, and ensuring patients stay connected to their providers.
• Completing Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision.
• Partnering with Health guides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources.
• Performing proactive outreach and timely follow-ups to maintain continuity of care and patient engagement.
• Advocating for patients, helping them access the right resources at the right time.
• Documenting clearly and accurately in the EHR and care-management systems during and after calls.
• Supporting quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions.
• Participating in virtual meetings, ongoing education, and clinical training to stay current with care standards.
• Using multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reach high-risk patients.
• Collaborating in AI-driven outreach programs that help connect with vulnerable populations.
• Protecting patient privacy in a secure, private home workspace.
• Performing additional responsibilities as needed to support patients and the care team.

• Active Compact Registered Nurse license in good standing is required.
• 3+ years of RN Case Management experience, preferably in outpatient or ambulatory care.
• Strong critical-thinking and problem-solving skills to anticipate barriers and drive care forward.
• Ability to work independently, manage multiple priorities, and make sound clinical decisions remotely.
• Outstanding communication—warm, clear, confident, and patient-focused.
• Excellent telephonic interviewing skills and the ability to document accurately in real time.
• High comfort level with technology: EMRs, care-management systems, multi-screen workflow, Microsoft Office, and telecommunication tools.
• Understanding of accreditation and quality standards (NCQA, HEDIS).
• A quiet, private home office suitable for patient calls and handling PHI.
• Alignment with Guidehealth policies, clinical protocols, and compliance standards.

• BSN and Case Management certification preferred.

The salary range for this role is $80,000.00 to $83,000.00

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 wit…