Medical Case Manager - RN

Crisis24 • Annapolis, MD

20h • Hybrid

About The Position

The Medical Case Manager RN provides medical assistance and claims management services for insurers and brokers around the world. The role supports the Medical Operations – Medical Team by reviewing medical information promptly and providing expert opinions to help determine the highest level of care for clients. Cases range from oversight of non-urgent outpatient reviews to emergency medical evacuations, and require obtaining information from medical professionals in different countries. The position draws on the nurse’s clinical experience and the shared expertise of the team to support informed case-management decisions.

The role is based in Annapolis, Maryland, with a hybrid arrangement preferred and remote work open to candidates within the United States. The schedule is five days per week, with rotating weekend coverage approximately once every four weeks. Shifts are 8.5-hour daytime shifts, with no overnight responsibilities. A valid passport is required because training will likely take place in the UK.

Requirements

• Must be a qualified and registered nurse.
• Must have at least 3 years of clinical experience; critical-care experience is preferred, but other settings may be considered if the experience is suitable.
• Must be able to exercise sound clinical judgment when handling assistance escalations.
• Must have effective verbal and written communication skills.
• Must have critical-thinking and problem-solving skills.
• Must be able to plan and manage a caseload and prioritize effectively.
• Must be able to take ownership of problems and resolve them.
• Must be able to work effectively as part of a team.
• Must have a valid passport; training will likely be provided in the UK.

Nice To Haves

• Recent clinical expertise, preferably in a critical-care setting.

Responsibilities

• Manage cases day to day.
• Contact medical professionals internationally to obtain updates on patients’ conditions.
• Use critical thinking when planning case management.
• Liaise with Operations colleagues to support open and effective communication.
• Perform telephonic patient assessments.
• Provide remote health advice to some prestige clients.
• Use and promote medical case-handling procedures.
• Plan and manage a caseload, including prioritizing work and resolving problems.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed