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Case Management Nurse

Oscar HealthUnited States
Full-timeRemote

Company

Oscar Health

Location

United States

Type

full-time

Work Schedule

full time

Work Location

remote

Job Description

Oscar Health seeks a Case Management Nurse to optimize member care in our innovative health platform. Drive personalized interventions, reduce hospital readmissions, and enhance outcomes using data-driven strategies. Join a forward-thinking team revolutionizing healthcare accessibility.

Full Description

Oscar Health advances healthcare through technology-driven care coordination. This Case Management Nurse role coordinates complex patient cases nationwide. Assess member needs via telehealth and chart reviews daily. Develop tailored care plans to bridge gaps in chronic disease management. Collaborate with providers to authorize services and prevent unnecessary admissions. Lead initiatives targeting high-risk populations, like diabetes cohorts, to lower costs and boost satisfaction. Hold active RN license and CCM certification. Possess 3+ years in case management or utilization review. Proficiency in Epic EHR and Microsoft Excel required. Excel in clinical assessment and motivational interviewing.

Key Skills

Case ManagementTelehealth CoordinationChronic Disease ExpertiseEHR ProficiencyPatient Advocacy