Title: Remote RN Case Manager Location: Chicago, IL, USA Job Description: Company Description WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by empathy and powered by AI and predictive analytics, Guidehealth leverages remotely-embedded Healthguides&trade; and a centralized Managed Service Organization to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality healthcare focused on outcomes and value inside and outside the exam room for all patients.  As a growing and innovative organization, we operate with a high degree of agility. Employees are expected to adapt to evolving business needs, step in to support cross-functional initiatives, and contribute beyond traditional role boundaries when needed. This collaborative and flexible mindset is essential to our success. We encourage cross-training, ongoing development, and a commitment to learning across all areas of the business&mdash;ensuring we continue to grow and you continue to thrive as a high-performing, mission-driven team. Join us as we put healthcare on a better path!! Job Description The RN Case Manager serves as a trusted clinical partner to patients, families, providers, and interdisciplinary teams, guiding individuals through complex health journeys with compassion, clinical excellence, and purpose. This is a primarily remote position with telephonic and virtual engagement and occasional in‑person participation as program needs require. This position blends strong nursing judgment with a whole-person approach to care management, addressing medical, behavioral, and social needs to support optimal health outcomes. The RN Case Manager is responsible for assessment, care planning, coordination, monitoring, and evaluation of services for a defined population, including members with chronic, complex, and high-risk conditions. Working closely with primary care providers, patient navigators, and other care team members, the Care Manager &ndash; Registered Nurse ensures safe, effective, equitable, and patient-centered care within a value-based care model. WHAT YOU&rsquo;LL BE DOING Clinical Care Management: - Conducting comprehensive clinical, psychosocial, and functional assessments to identify patient needs, risks, and goals. - Developing, implementing, and maintaining individualized, evidence‑based care plans in collaboration with patients, families, PCPs, and the interdisciplinary care team. - Providing clinical interventions and nursing support aligned with care plan goals, protocols, and accreditation standards. - Monitoring patient progress through ongoing outreach, data review, and reassessment; adjust care plans as indicated. - Developing patient‑specific escalation plans with providers for acute but non‑emergent changes in condition. Care Coordination & Advocacy: - Coordinating care across providers, settings, and services to ensure continuity, safety, and quality. - Partnering with patient navigators and non‑clinical team members to address social determinants of health, including access to transportation, food, housing, and community resources. - Serving as a clinical advocate, assisting patients in accessing services requiring nursing licensure, clinical expertise, or care management oversight. - Facilitating referrals and follow‑up to ensure timely connection to recommended services and resources. Patient & Family Engagement: - Building meaningful, trusting relationships with patients and families through empathetic, culturally responsive communication. - Providing education on conditions, treatment options, self‑management strategies, and navigation of the healthcare system. - Empowering patients to make informed decisions and achieve greater health autonomy. Quality, Compliance, & Documentation: - Maintaining accurate, timely, and compliant documentation in electronic medical records and care management systems. - Utilizing evidence‑based clinical guidelines, internal protocols, and defined quality metrics (e.g., NCQA, HEDIS). - Participating in quality, utilization management, and performance improvement activities as applicable. - Maintaining strict confidentiality and adhere to all regulatory, accreditation, and organizational standards. Qualifications WHAT YOU'LL NEED TO HAVE - Active, unrestricted IL state Registered Nurse (RN) license in good standing - Minimum of 3&ndash;5 years of clinical nursing experience, including care management, case management, or chronic/complex condition management. - Strong clinical assessment, critical thinking, and care coordination skills. - Experience working collaboratively within interdisciplinary teams. - Proficiency with EMRs and comfort learning multiple documentation and care management platforms. - Excellent written and verbal communication skills, including the ability to engage patients telephonically and virtually. - Ability to work independently in a remote environment while maintaining strong team engagement. WHAT WE'D LOVE FOR YOU TO HAVE - Bachelor&rsquo;s degree in nursing (BSN). - Specialty certification in care management (CCM, ACM) or willingness to obtain within a defined timeframe. - Experience in value‑based care, population health, managed care, or outpatient care settings. - Supervisory or informal leadership experience. - Multilingual skills. Additional Information The salary range for this role is between $80,000.00 to $83,000.00 per year based upon experience. ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do. - We are Driven by Accountability &mdash; grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike. - Always Growing, Always Learning &mdash; staying curious and continuously improving inspires us to shape a better future for healthcare. - With Collaborative Innovation, we solve problems creatively, making every experience better for our employees and the patients we serve. - At Guidehealth, Every Voice Matters &mdash; we believe our collective strength is rooted in the unique perspectives of each team member. - And through Empathy in Action, we build stronger connections with those who count on us. - This is what it means to be ALIVE with purpose. This is how we thrive &mdash; together &mdash; at Guidehealth. BENEFITS: While you are hard at work advancing value-based healthcare, we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include: - Work from Home: Guidehealth is a fully remote company, providing you the flexibility to spend less time commuting and more time focusing on your professional goals and personal needs. - Keep Health a Priority: We offer comprehensive Medical, Dental, and Vision plans to keep you covered. - Plan for the Future: Our 401(k) plan includes a 3% employer match to your 6% contribution. - Have Peace of Mind: We provide Life and Disability insurance for those "just in case" moments. Additionally, we offer voluntary Life options to keep you and your loved ones protected. - Feel Supported When You Need It Most: Our Employee Assistance Program (EAP) is here to help you through tough times. - Take Time for Yourself: We offer paid time off plans helping you achieve work-life balance and meet your personal goals. - Support Your New Family: Welcoming a new family member takes time and commitment. Guidehealth offers paid parental leave to give you the time you need. - Learn and Grow: Your professional growth is important to us. Guidehealth offers various resources dedicated to your learning and development to advance your career with us. All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits. COMPENSATION: The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications. OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT Diversity, inclusion, and belonging are at the core of Guidehealth&rsquo;s values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment advertising, pay, and other forms of compensation, training, and general treatment during employment.  OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA</strong> This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth&rsquo;s custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles, the responsibilities would be further defined by the hiring manager. As a remote-first organization handling sensitive healthcare data, Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy, data security, and compliance requirements. REMOTE WORK TECHNICAL REQUIREMENTS Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection, capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download, 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements. SECONDARY EMPLOYMENT At Guidehealth, we value transparency and collaboration as part of our commitment to excellence. As your primary employer, we kindly ask all team members to disclose any secondary employment, regardless of whether it may present a potential conflict of interest. To ensure smooth teamwork and availability, employees must be accessible during our stated working hours. We foster connection and engagement by asking team members to join virtual meetings with their cameras on.