Case Manager
Blue Cross NC · United States · US
Utilization Review
Remote/Hybrid — check advert
physician
Nurse
Dentist
Demand80
Career growth65
Healthcare fit86
Remote potential75
Salary band
USD 74k – 118k
5-year outlook
Stable payer-side case management demand should support competitive RN-level compensation, with upside through CCM/CDCES certification, Medicare specialization, utilization management, or leadership. Exact salary varies by market and experience.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-11-06
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for RNs with 3+ years of experience who want payer-side care coordination and more flexible, non-bedside work. Less suitable for clinicians without an active RN license or those seeking direct patient care.
Who should apply
RNs with 3+ years of clinical or case management experience, especially those with Medicare, telephonic case management, discharge planning, chronic disease management, or health insurance exposure.
CV angle
Reframe bedside and clinical experience as care coordination: highlight comprehensive assessments, multidisciplinary collaboration, discharge planning, member education, chronic disease management, documentation, and resource/utilization stewardship. Include any telephonic outreach, Medicare, insurance, CCM/CDCES, quality, or outcome metrics.
Skills to highlight
- Care coordination
- Comprehensive clinical assessment
- Discharge planning
- Utilization management and medical necessity review
- Multidisciplinary collaboration
- Member/patient education
- Documentation and care planning
- Medicare and chronic disease management
Role summary
Payer-based Medicare case manager coordinating care and resources for high-risk or high-cost members, assessing needs, developing care plans, facilitating transitions, and documenting outcomes.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.