Case Manager

Oscar Health

. Collaborate across Oscar teams to deliver high-quality care and improve member health outcomes .

Posted 11/11/2026full-timeRemote • United StatesJuniorMid-Level💰 $67,813 - $89,004 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in care coordination and navigation, with a strong focus on improving member health outcomes through personalized care plans and community resource connections. Holds active RN licensure or MSW, with experience in managing chronic medical conditions and advocating for patient needs.

Highest-signal resume keywords

Care CoordinationChronic Disease ManagementActive RN LicensureSocial Determinants Of HealthBilingual Spanish Skills

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Care ManagementCrisis InterventionPatient EducationProcess ImprovementCommunity Resource ConnectionHealth Outcome EvaluationPersonalized Care PlansComplex Case Management

Soft Skills

CollaborationAdvocacyCommunicationProblem-Solving

Certifications & Qualifications

CCM CertificationLicensed Master Social WorkerLicensed Clinical Social Worker

Industry Keywords

Inpatient CareOutpatient CareER CareHome-Care SettingsHealth Regulations

About the role

Key responsibilities & impact

Collaborate across Oscar teams to deliver high-quality care and improve member health outcomes
Educate members about health conditions, hospital discharges, medical procedures, and new prescriptions
Evaluate Social Determinants of Health and connect members with tailored community resources
Coordinate care across inpatient, outpatient, ER, and home-care settings
Partner with members and providers to navigate complex health challenges and create personalized care plans
Provide crisis intervention and advocate for members to resolve barriers to care and treatment compliance
Engage with members by phone, secure messaging, or in person
Contribute to process improvement initiatives and new pilot programs
Report to the Case Management supervisor
Comply with applicable laws and regulations and perform other assigned duties

Requirements

What you’ll need

2+ years of clinical experience including hospital, outpatient, or community-based care management
2+ years of experience working directly with patients with chronic medical conditions, including diabetes, COPD, or hypertension
1+ years of experience in care coordination and navigation
Active, unrestricted RN licensure from the United States in [state], OR active compact multistate unrestricted RN license, OR Master of Social Work (MSW) from a graduate of a nationally accredited school approved by the Council on Social Work Education
BSN, Licensed Master Social Worker or Licensed Clinical Social Worker, CCM Certification, case management experience, complex case management certification, and bilingual Spanish skills are bonus points

Benefits

Comp & perks

Monthly vacation accrual at a rate of 15 days per year
Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements
Occasional travel for team meetings and company events