RN Case Manager
GuideWell · United States · US
Utilization Review
Remote
physician
Nurse
Dentist
Demand82
Career growth70
Healthcare fit78
Remote potential60
5-year outlook
Stable demand for RN case managers in managed care; compensation typically competitive with clinical nursing, with potential to advance into utilization management or care management leadership. Exact figures vary by region and employer.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-09-28
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse, Dentist
- Rate period
- Annual
Why this was classified this way
- part-time
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
Strong option for experienced nurses seeking predictable hours and non-bedside work in managed care. Requires RN license and 5+ years clinical experience, so not entry-level.
Who should apply
Experienced RNs with acute care, ICU, or case management background interested in utilization review, care coordination, and managed care.
CV angle
Frame clinical nursing experience around patient assessment, discharge planning, interdisciplinary collaboration, medical necessity, and cost-effective care. Highlight any managed care, utilization review, or CCM exposure.
Skills to highlight
- Care Coordination
- Utilization Management
- Discharge Planning
- Medical Necessity Review
- Managed Care
- Patient Assessment
- Interdisciplinary Collaboration
- Cost Containment
Role summary
RN Case Manager at GuideWell responsible for assessing member needs, developing and monitoring care plans, coordinating with providers and community resources, reviewing medical necessity, and managing benefits within a managed care environment.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.