Case Manager

Job overview

The Case Manager role is fully remote for eligible U.S. residents, excluding Alaska, Delaware, Hawaii, Louisiana, Montana, North Dakota, Oklahoma, West Virginia, Wyoming, and U.S. territories. The listed annual base pay is $75,894–$98,894 in California, Connecticut, New Jersey, New York, and Washington, and $67,813–$89,004 elsewhere. The role is part of Oscar’s Care Delivery - Clinical team, supporting its member-focused health insurance services. The Case Manager helps improve member health outcomes by coordinating care across settings, developing personalized care plans with members and providers, addressing social needs through community resources, and advocating for members facing barriers to care. The position also provides education and crisis support while contributing to process improvement and pilot programs.

What you'll do

• Coordinate care across inpatient, outpatient, emergency, and home-care settings
• partner with members and providers on personalized care plans
• assess social determinants of health and connect members with community resources
• provide crisis intervention and member advocacy
• educate members by phone, secure messaging, or in person
• maintain confidentiality and comply with applicable laws and regulations.

What we're looking for

Skills & competencies

remote

u.s. remote (eligible states)

oscar health

case management

care coordination

member advocacy

clinical care

social determinants of health

chronic conditions

rn license or msw

community resources

annual pay $67,813–$98,894

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision benefits
• 11 paid holidays
• paid sick time
• paid parental leave
• 401(k)
• life and disability insurance
• paid wellness time and reimbursements
• monthly vacation accrual at 15 days per year.

Why this role

Requires two or more years of clinical care management experience and direct experience with patients with chronic conditions, plus one or more years in care coordination and navigation. Requires an active unrestricted U.S. RN license, compact multistate RN license, or an MSW from an accredited program. Occasional travel for team meetings and company events.

About the employer

Oscar Health is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.