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 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. 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.
Key responsibilities include:
- Conduct in-depth telephonic assessments of medical, psychosocial, and social needs.
- Review and update medical histories, medications, chronic conditions, and preventive care.
- Develop individualized care plans and guide patients through treatment goals and 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 social determinants of health resources.
- Perform proactive outreach and timely follow-ups to maintain continuity of care and patient engagement.
- Advocate for patients to help them access appropriate resources.
- 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.
- Use phone, text, patient portals, email, and AI-supported tools to reach high-risk patients.
- Collaborate in AI-driven outreach programs and protect patient privacy in a secure, private home workspace.
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.
- 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: Guidehealth values accountability, learning, collaborative innovation, diverse voices, and empathy in action.
BENEFITS: All full-time employees who work 30 hours per week or more are eligible for a comprehensive benefits package including Medical, Dental, and Vision plans; 401(k) with a 3% employer match to a 6% contribution; Life and Disability insurance; Employee Assistance Program (EAP); paid time off; paid parental leave; and learning and development resources.
COMPENSATION: The listed compensation range is paid bi-weekly. Final base pay depends on factors including skill set, years of experience, education, location, and licensure/certifications.
REMOTE WORK TECHNICAL REQUIREMENTS: Guidehealth provides equipment to new employees. Employees must provide their own internet capable of video calls. Required minimum internet speed: 100 Mbps download, 10 Mbps upload. Please confirm your connection meets these requirements.
How to Apply
To apply, use the SmartRecruiters application on the job posting page and click the "I'm interested" or apply button for this role.
Job Link
Apply via: https://jobs.smartrecruiters.com/Guidehealth/3743990010784796-rn-case-manager-remote