RN Case Manager - Remote - PST Hours

Curana Health, Inc.•Remote,

1d•Remote

About The Position

At Curana Health, we know that care is more than clinical checklists—it is about truly seeing and supporting the whole person. As a Care Ally Case Manager, you will be the trusted connection point between our members, their families, care teams, and our internal partners. You will guide, advocate, and coordinate care so that every member feels heard, cared for, and supported in living their healthiest life.

Requirements

One (1) year of clinical practice experience in at least one of the following areas: case management, home health, critical care, medical/surgical, discharge planning, concurrent review, or obstetric/neonatal care.
Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding.
LPN/LVN/RN nurse license, active and unencumbered state license in the state where job duties are performed is required.
Active Licensed Social Worker (LSW). Bachelor's degree in social work (BSW)

Nice To Haves

Case management certification preferred.
Bilingual in Spanish preferred
BSN preferred
Comparable work experience in care coordination, case management, social services, managed care, or senior healthcare may be considered in lieu of licensure

Responsibilities

Serve as the go-to liaison between members, families/POAs, providers, and the Align Senior Care team.
Conduct comprehensive health assessments, create personalized care plans, and participate in interdisciplinary team meetings to ensure members’ needs are met.
Act as a health coach—empowering members and families with knowledge about conditions, treatment plans, benefits, and community resources.
Help members navigate appointments, medications, supplemental benefits, and transitions between care settings.
Check in regularly (in person or by phone) to track progress, provide encouragement, and address new needs as they arise.
Work across departments to resolve billing issues, grievances, or utilization management needs—always keeping the member experience front and center.
Facilitate communication with physicians, APPs, and facility teams to ensure seamless, patient-centered care.
Support leadership initiatives and partner with account managers to identify preferred providers and strengthen community partnerships.
Support required Model of Care activities, including member outreach, health risk assessments, individualized care plan development, interdisciplinary care team participation, documentation, member education, and follow-up on identified care gaps, barriers, and transitions of care.