Case Manager

Oscar Health

. Coordinate care across inpatient, outpatient, ER, and home care settings .

Posted 10/22/2026full-timeRemote • United StatesJuniorMid-Level💰 $67,813 - $89,004 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Care Coordination and Navigation, with a strong background in managing chronic medical conditions and connecting patients to community resources. Maintains compliance with healthcare regulations while advocating for patient needs and contributing to process improvements.

Highest-signal resume keywords

Care CoordinationChronic Disease ManagementRN LicensureCase Management ExperienceBilingual Spanish Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical ExperienceCrisis InterventionPatient EducationSocial Determinants of Health AssessmentTreatment Compliance Advocacy

Soft Skills

CommunicationAdvocacyProblem-SolvingCollaborationConfidentiality

Certifications & Qualifications

CCM CertificationComplex Case Management Certification

Industry Keywords

Inpatient CareOutpatient CareCommunity-Based CareHealth ChallengesProcess Improvement

About the role

Key responsibilities & impact

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
Assess and address Social Determinants of Health by connecting members with community support resources
Provide crisis intervention and advocate for members to resolve barriers to care and treatment compliance
Engage members by phone, secure messaging, or in person to provide education on health conditions, hospital discharges, medical procedures, and prescriptions
Maintain confidentiality and high professional standards
Comply with applicable laws and regulations
Contribute to process improvement initiatives and new pilot programs
Perform other duties as assigned
Report to the Case Management supervisor

Requirements

What you’ll need

2+ years of clinical experience to include hospital, outpatient or community based care management
2+ years of experience working directly with patients with chronic medical conditions (e.g. diabetes, COPD, hypertension), demonstrating a solid understanding of disease trajectories, common treatment regimens, and symptom management
1+ years experience Care Coordination and Navigation
Active, unrestricted RN licensure from the United States OR active compact multistate unrestricted RN license or Masters in Social Work (MSW) from a graduate of a Nationally Accredited School approved by the Council on Social Work Education
BSN, licensed social worker credentials, CCM Certification, case management experience, complex case management certification, and bilingual Spanish skills are bonus points

Benefits

Comp & perks

Employee benefits
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