Case Manager, CCM

🔥 4 minutes ago

🌵 Arizona, Florida, +14 more states – Remote

🌵 Arizona – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote

💵 $67.8k - $89k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Oscar Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2012

⚕️ Healthcare Insurance

🏥 Healthcare

💰 $355M Post-IPO Debt - Oscar Health on 2025-09

Healthcare Insurance • Healthcare

Oscar Health is a technology-driven health insurance company that provides individual, family, and small-group health plans in multiple U. S. states. Oscar combines traditional insurance underwriting with digital-first services — a consumer-facing app, 24/7 virtual urgent care, prescription delivery (including $3 meds in many plans), and dedicated Care Teams — and also operates Oscar Primary Care in some markets. The company emphasizes accessible, affordable, high-quality care and uses AI to improve member experience and care delivery. Insurance policies are underwritten by Oscar's state insurance subsidiaries and the company offers both HMO and other plan types across its markets.

📋 Description

• 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 tailored community support resources • Provide crisis intervention support 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 new prescriptions • Maintain strict confidentiality and high professional standards • Ensure compliance with applicable laws and regulations • Contribute to process improvement initiatives and new pilot programs • Perform other responsibilities as assigned • Report to the Manager, Clinical Programs

🎯 Requirements

• 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 the applicable state, or an 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 • BSN, Licensed Master Social Worker or Licensed Clinical Social Worker, CCM Certification, Case Management experience, Complex Case Management certification, and bilingual Spanish skills are bonus points

🏖️ Benefits

• Monthly vacation accrual at a rate of 15 days per year • Medical benefits • Dental benefits • Vision benefits • 11 paid holidays • Paid sick time • Paid parental leave • 401(k) plan participation • Life insurance • Disability insurance • Paid wellness time and reimbursements • Occasional travel for team meetings and company events

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