Senior Case Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $100k - $130k / year

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Arlo

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2022

⚕️ Healthcare Insurance

🤝 B2B

👥 HR Tech

💰 $4M Seed Round - Arlo on 2025-03

Healthcare Insurance • B2B • HR Tech

Arlo is a self-funded health plan and benefits platform for small and medium-sized businesses that delivers transparent, prevention-first health insurance with predictable pricing, zero-cost primary care and virtual urgent care, concierge support, and a mobile app to simplify administration for employers and brokers. It offers nationwide coverage in most states (excluding WA, NY, HI, DC, and OK), scales for teams of about 10–150 employees, and emphasizes upfront pricing, reduced claims denials, and year-over-year rate stability.

📋 Description

• Review claims, prior auth requests, and ADT (admission/discharge/transfer) data to identify members who would benefit from case management • Conduct clinical assessments and build individualized care plans with members • Coordinate directly with PCPs, specialists, hospitals, and post-acute providers to ensure care plans are executed and gaps are closed • Support members through complex episodes — new diagnoses, hospitalizations, transitions of care, and chronic condition management • Partner with our utilization management workflows on medical necessity questions and appropriate level of care • Help us build the playbook: contribute to protocols, escalation pathways, and the tooling we use to do this work well • Document thoroughly and maintain compliance with applicable regulatory and accreditation standards

🎯 Requirements

• Active, unrestricted RN license; multi-state compact license strongly preferred • 5+ years of clinical nursing experience, with relevant experience in case management, utilization management, care coordination, or discharge planning • Comfort reading and interpreting claims data, prior auth criteria (MCG/InterQual), and clinical documentation • Strong communication skills — you can hold your own with a skeptical specialist and also meet a member where they are • Self-directed; you can run your panel without someone over your shoulder • Comfort working in a fast-moving environment where processes are still being built

🏖️ Benefits

• High ownership: You’ll get real responsibility from day one—our high-trust team empowers you to run with big problems and shape core parts of the company. • Join an important mission: Your work directly influences how people access care and improves lives at scale. • Growth & expansion: We’re moving fast, and as we grow, your scope will grow with us—new challenges, bigger opportunities, and rapid career velocity. • Apply AI to a problem that matters: Instead of optimizing ads or cutting labor costs, you’ll use AI to fundamentally reimagine how people get healthcare. • High pace, high collaboration: We operate with velocity, first-principles thinking, and a team that works closely, openly, and with ambition.