Case Manager, RN

Lifelancer

. Telephonically and/or face to face assess, plan, implement, and coordinate case management activities .

Posted 9/15/2026full-timeRemote • Massachusetts • United StatesMid-LevelSenior💰 $66,575 - $142,576 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in case management processes, clinical assessment, and member engagement while ensuring compliance with regulatory standards. Holds an active RN license and possesses strong communication and customer service skills to effectively coordinate care and improve health outcomes.

Highest-signal resume keywords

Active RN License3+ Years Acute Care Experience1+ Years Case Management ExperienceCertified Case Manager (CCM)Microsoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Case Management ProcessesClinical AssessmentHealth Needs EvaluationData ReviewRisk Factor ReductionTelephonic CommunicationMember EngagementMulti-Program OperationInterviewing SkillsWellness Facilitation

Soft Skills

Customer Service SkillsCollaborationProactive Problem SolvingCommunication Skills

Tools & Technologies

Microsoft OfficeHigh-Speed InternetComputer Station with Multiple Screens

Certifications & Qualifications

Certified Case Manager (CCM)Transgender Certification

Industry Keywords

Acute CareRegulatory ComplianceCase ManagementHealth OutcomesMember Benefits

About the role

Key responsibilities & impact

Telephonically and/or face to face assess, plan, implement, and coordinate case management activities
Evaluate members’ medical needs to facilitate overall wellness
Collaboratively develop proactive courses of action to improve short- and long-term outcomes
Review clinical tools and information/data, including assessments and claims
Evaluate member needs and available benefits
Collaborate and refer members to programs offered by the plan sponsor
Apply clinical judgment to reduce risk factors and address complex health issues and social indicators
Use case management processes in compliance with regulatory and company policies
Conduct interviews to maximize member engagement and assess health status and needs
Work Monday through Friday, 8am–5pm in the time zone of residence, with flexibility to meet member/business needs

Requirements

What you’ll need

Active and unrestricted RN license in state of residence, preferably compact
RN living in EST Time Zone
Willingness and ability to obtain additional state licenses upon hire
3+ years of acute care clinical experience as an RN
0–10% travel may be required
Associate degree in nursing or BSN
Private designated workspace free of distractions
High-speed internet
Ability to use a computer station with multiple screens and operate multiple programs simultaneously
Ability to sit for extended periods
1+ years of case management experience preferred
Certified Case Manager (CCM) certification preferred
Strong customer service skills preferred
Experience with Microsoft Office, including PowerPoint, Excel, and Word preferred
Strong telephonic communication skills preferred
1+ years of experience using computers and navigating multiple monitors while speaking on the telephone preferred
Transgender certification preferred

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
Additional state licenses upon hire paid for by the company