Case Manager, CCM

Oscar Health

. Coordinate care across inpatient, outpatient, ER, and home-care settings while maintaining confidentiality and professional standards .

Posted 9/16/2026full-timeRemote • Arizona • United StatesJuniorMid-Level💰 $67,813 - $89,005 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Care Coordination and Navigation, with a strong focus on managing chronic medical conditions and connecting patients to community resources. Holds active RN licensure or MSW, with a commitment to compliance and process improvement in clinical settings.

Highest-signal resume keywords

Care CoordinationChronic Disease ManagementActive RN LicensureCrisis InterventionBilingual 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 ManagementPatient AdvocacyHealth EducationSocial Determinants of Health AssessmentProcess Improvement

Soft Skills

CommunicationInterpersonal SkillsProblem-Solving

Certifications & Qualifications

CCM CertificationLicensed Master Social WorkerLicensed Clinical Social Worker

Industry Keywords

Inpatient CareOutpatient CareCommunity-Based CareChronic Medical ConditionsHealth Compliance

About the role

Key responsibilities & impact

Coordinate care across inpatient, outpatient, ER, and home-care settings while maintaining confidentiality and professional standards
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
Comply with applicable laws and regulations
Contribute to process improvement initiatives and new pilot programs
Report to the Manager, Clinical Programs
Perform other responsibilities as assigned

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 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
Candidates must reside in Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia
Bonus: BSN
Bonus: Licensed Master Social Worker or Licensed Clinical Social Worker
Bonus: CCM Certification
Bonus: Case Management experience
Bonus: Complex Case Management certification
Bonus: Bilingual skills (Spanish)

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