A large health insurance planHiring

RN II, Care Manager

  • Remote, United States
  • Lead
  • Posted 2 days ago
In one line

Remote nursing role managing care for high-risk members, checking that services fit their needs and benefits and helping them get preventive care.

About the role

Primary nurses handle a caseload of high-risk members, plan their move through the care continuum and mentor newer nurses. Work follows clinical guidelines and the plan's benefit rules.

At a glance

Pay
Not stated in the posting
Remote scope
Remote, United States
Seniority
Lead
Skills
Care management, Quality improvement
Posted
27 Oct 2026
Last checked
27 Oct 2026

What you will do

  • Check members' clinical needs against guidelines and confirm services are medically right for them
  • Help close gaps in care and steer high-risk members to annual wellness visits, working with their doctors
  • Build and coordinate individual care plans, spotting what stops members managing their own health
  • Talk with members, families, doctors and hospitals from diagnosis through to outcome
  • Document to practice standards and take part in quality improvement reviews
  • Mentor and train new nurses and other staff

What they look for

  • Nursing degree, associate's or bachelor's, or an accredited diploma in nursing or a health field
  • At least two years of clinical experience
  • Experience with acute and chronic care needs

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Questions about this job

Can I do this job remotely, and from which countries?

The posting lists it as remote for people in the United States.

What does this job pay?

The posting does not state a salary, so there is no figure to quote.

What experience is needed?

It is a lead role. The posting asks for: nursing degree, associate's or bachelor's, or an accredited diploma in nursing or a health field; at least two years of clinical experience; experience with acute and chronic care needs. Skills it names include Care management, Quality improvement.

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