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CCM Case Manager

đŸ”„ 13 hours ago

🍑 Georgia – Remote

infoinfo

đŸ’” $67.8k - $89k / year

⏰ Full Time

🟱 Junior

🟡 Mid-level

👔 Manager

Where this job comes from

Posted on Oscar Health's careers page, not through a job board

First seen by Remote Rocketship 13 hours ago

Still open on Oscar Health's site. Checked 1 hour ago.

Logo of Oscar Health

Oscar Health

1001 - 5000 employees

Founded 2012

⚕ Healthcare Insurance

đŸ„ 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

‱ Collaborate across Oscar teams to deliver high-quality care and improve member health outcomes ‱ Educate members about health conditions, hospital discharges, medical procedures, and new prescriptions ‱ Coordinate care across inpatient, outpatient, ER, 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 with members by phone, secure messaging, or in person ‱ Maintain strict confidentiality and high professional standards ‱ Contribute to process improvement initiatives and new pilot programs ‱ Comply with applicable laws and regulations and perform other duties as assigned

🎯 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 [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 ‱ BSN, Licensed Master Social Worker, Licensed Clinical Social Worker, CCM Certification, case management experience, complex case management certification, and bilingual Spanish skills are bonus points

đŸ–ïž Benefits

‱ 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

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