RN Case Manager - 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. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.
Join us as we put healthcare on a better path!!
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.
What you'll be doing:
- Conduct in-depth telephonic assessments to understand each patient’s medical, psychosocial, and social needs.
- Review and update medical histories—including medications, chronic conditions, and preventive care.
- Develop individualized care plans and guide patients through their treatment goals and care options.
- Provide empathetic, evidence-based education on chronic disease management and preventive health.
- Monitor progress by phone, adjust care plans, and ensure patients stay connected to their providers.
- Complete Medicare Annual Wellness Visits (AWVs) via telehealth under physician supervision.
- Partner with Healthguides who support non-clinical needs like scheduling, transportation, food assistance, and SDOH resources.
- Perform proactive outreach and timely follow-ups to maintain continuity of care and patient engagement.
- Advocate for patients, helping them access the right resources at the right time.
- Document clearly and accurately in the EHR and care-management systems during and after calls.
- Support quality outcomes (HEDIS, NCQA) by coordinating preventive services and managing chronic conditions.
- Participate in virtual meetings, ongoing education, and clinical training to stay current with care standards.
- Use multiple communication methods (phone, text, patient portals, email, AI-supported tools) to reach high-risk patients.
- Collaborate in AI-driven outreach programs that help connect with vulnerable populations.
- Protect patient privacy in a secure, private home workspace.
- Perform additional responsibilities as needed to support patients and the care team.
Qualifications
What you'll need for success:
- 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.
What we'd love for you to have:
- BSN and Case Management certification preferred.
Additional Information
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.
- Driven by Accountability — transparency, reliability, and integrity.
- Always Growing, Always Learning — stay curious and continuously improve.
- Collaborative Innovation — solve problems creatively.
- Every Voice Matters — value diverse perspectives.
- Empathy in Action — build stronger connections with those who count on us.
BENEFITS:
Guidehealth is a fully remote company and offers comprehensive Medical, Dental, and Vision plans, a 401(k) plan with a 3% employer match, Life and Disability insurance, Employee Assistance Program (EAP), paid time off, paid parental leave, and resources for learning and development. Full-time employees who work 30 hours/week or more are eligible for benefits; temporary employees and contractors are not eligible.
COMPENSATION:
The listed compensation range is paid bi-weekly. Final base pay decisions depend on factors such as skill set, years of experience, education, location, and licensure/certifications.
REMOTE WORK TECHNICAL REQUIREMENTS:
Guidehealth provides new employees with necessary equipment. Employees must provide their own internet connection capable of video calls. Required internet speed: minimum 100 mbps download, 10 mbps upload.
How to Apply
If you’re interested in this position, click the “I'm interested” link on the Guidehealth job page or apply via the SmartRecruiters one-click application.
Application Links
Primary apply URL: https://jobs.smartrecruiters.com/oneclick-ui/company/Guidehealth/publication/412fa13b-e96f-4007-b635-aef83a3370a9?dcr_ci=Guidehealth
Alternate apply URL: https://www.smartr.me/oneclick-ui/company/Guidehealth/publication/412fa13b-e96f-4007-b635-aef83a3370a9?dcr_ci=Guidehealth&utm_source=job-ad-smartr-apply