CCM Case Manager

Oscar Health

. Coordinate care across inpatient, outpatient, emergency room, and home care settings .

Posted 11/11/2026full-timeRemote • Georgia • 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 managing chronic medical conditions and connecting patients to community resources. Maintains high professional standards while advocating for patient needs and ensuring compliance with healthcare regulations.

Highest-signal resume keywords

Care CoordinationChronic Disease ManagementPatient AdvocacyRN LicensureSocial Determinants of Health

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical ExperienceCare ManagementCrisis InterventionPatient EducationProcess Improvement

Soft Skills

CommunicationConfidentialityInterpersonal Skills

Certifications & Qualifications

Active RN LicensureMaster of Social Work (MSW)

Industry Keywords

Inpatient CareOutpatient CareCommunity-Based CareHealth ChallengesHealthcare Regulations

About the role

Key responsibilities & impact

Coordinate care across inpatient, outpatient, emergency room, 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
Contribute to process improvement initiatives and new pilot programs
Comply with applicable laws and regulations
Perform other duties as assigned
Report to the Manager, Clinical Program

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 a Master of Social Work (MSW) from a graduate of a Nationally Accredited School approved by the Council on Social Work Education
Work eligibility in the U.S., excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. Territories
Ability to maintain strict confidentiality and high professional standards

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