RN Case Manager – Transition of Care (Outpatient) – Remote
Alignment Health · United States · US
Utilization Review
Remote
physician
Nurse
Demand78
Career growth65
Healthcare fit80
Remote potential95
Salary band
USD 80k – 120k
5-year outlook
Stable demand in Medicare Advantage and payer care management; compensation should remain competitive for experienced RN case managers, though exact pay varies by state, licensure, and experience.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-19
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- 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 5+ years of case management or care coordination experience who want remote payer-side work; less suitable for clinicians without an RN license or case management background.
Who should apply
Experienced RN case managers, transition-of-care nurses, chronic care nurses, and utilization management nurses, especially those with Medicare Advantage or managed care exposure.
CV angle
Frame RN experience around care management outcomes: complex chronic disease assessment, care plan development, interdisciplinary collaboration, authorization/referral facilitation, patient/family education, regulatory compliance, and measurable utilization/cost outcomes.
Skills to highlight
- RN case management
- Care coordination
- Transition of care
- Utilization management
- Chronic disease management
- Authorization and referral facilitation
- Interdisciplinary collaboration
- Patient/family education
Role summary
Remote RN case manager supporting health plan members with complex chronic needs through telephonic assessment, care planning, authorization/referral coordination, provider collaboration, and outcome monitoring.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.