RN Case Manager, Complex Pediatric Specialty - Remote
Posted on January 22, 2026 (about 3 hours ago)
Company Description
WHO IS GUIDEHEALTH?
Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides™ and a centralized Managed Service Organization to build stronger connections with patients and providers.
Job Description
Helping patients feel supported, heard, and guided—right from your home.
As a Remote RN Case Manager, you will build trusted relationships with patients by phone, helping them navigate complex health needs, understand their care plans, and improve their overall well-being. This is a primarily remote role with 10–15% local travel to clinical sites in your hiring area.
- Conduct in-depth telephonic assessments of medical, psychosocial, and social needs.
- Review and update medical histories, including medications and preventive care.
- Develop individualized care plans and guide patients through treatment goals and options.
- Provide evidence-based education on chronic disease management and preventive health.
- Monitor progress, adjust care plans, and ensure patients stay connected to providers.
- Complete Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision.
- Partner with Healthguides for non-clinical needs (scheduling, transportation, food assistance, SDOH resources).
- Perform proactive outreach and timely follow-ups to maintain continuity of care.
- Document accurately in the EHR and care-management systems.
- Support quality outcomes (HEDIS, NCQA) and participate in virtual meetings and ongoing training.
Qualifications
What you'll need for success:
- Active Compact Registered Nurse license in good standing.
- 3+ years of RN case management experience, preferably in outpatient or ambulatory care.
- 3+ years of RN case management experience specifically focused on complex pediatric cases.
- Strong critical-thinking and problem-solving skills and ability to work independently.
- Outstanding communication and telephonic interviewing skills, with accurate real-time documentation.
- Comfortable with technology: EMRs, care-management systems, multi-screen workflows, 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.
Additional Information & Benefits
The salary range for this role is $80,000.00 to $83,000.00, paid bi-weekly per standard payroll practices. Final base pay depends on factors such as skill set, experience, education, location, and licensure/certifications.
Benefits include:
- Fully remote work environment with required 100 mbps download / 10 mbps upload internet minimum (employee-provided).
- Medical, dental, and vision plans; life and disability insurance; Employee Assistance Program (EAP).
- 401(k) with 3% employer match to a 6% contribution, paid parental leave, and paid time off.
- Learning and development resources for career growth.
Guidehealth is an equal opportunity employer committed to diversity, inclusion, and protection of patient and company data. All employees must follow security policies to protect PHI and PII.
How to Apply
To apply for this role, click the "I'm interested" button on the job posting page or submit your application through SmartRecruiters using the job URL: https://jobs.smartrecruiters.com/Guidehealth/3743990011204364-rn-case-manager-complex-pediatric-specialty-remote
Application Notes
Applicants will complete the standard SmartRecruiters application flow. Ensure your RN licensure and relevant experience (especially pediatric case management) are included in your submission.