Case Management Nurse jobs in United States
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Oscar Health · 1 day ago

Case Management Nurse

Oscar is a health insurance company focused on serving its members through a technology platform. The Case Management Nurse will educate members on health outcomes, assist with transitions from care settings, and participate in process improvement initiatives.

Health CareHealth InsuranceInsuranceInsurTech
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H1B Sponsor Likelynote

Responsibilities

Assist in the coordination of care across a variety of settings (inpatient, outpatient, post acute, ER, home care)
Actively reach out to members undergoing difficult health challenges and develop care plans
Proactively reach out to hospital case managers to assist with discharge planning
Communicate with members via phone or secure messaging to provide education on health conditions, new medications, and procedures
Compliance with all applicable laws and regulations
Other duties as assigned

Qualification

Active RN licensureCare Coordination experienceCCM CertificationBilingual in SpanishBSNMilliman Guidelines knowledge

Required

Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license
Ability to obtain additional state licenses to meet business needs
2+ years of clinical experience to include payer, hospital, outpatient or community based care management
1+ years of experience in Care Coordination and Navigation

Preferred

CCM Certification
Bilingual in Spanish and/or creole reading, writing, speaking
BSN
Working knowledge of Milliman Guidelines

Benefits

Medical, dental, and vision benefits
11 paid holidays
Paid sick time
Paid parental leave
401(k) plan participation
Life and disability insurance
Paid wellness time and reimbursements

Company

Oscar Health

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Oscar is a health insurance company that offers individual and family plans, medicare advantages, and small group products.

H1B Sponsorship

Oscar Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (19)
2024 (24)
2023 (22)
2022 (36)
2021 (13)

Funding

Current Stage
Public Company
Total Funding
$1.99B
Key Investors
Tiger Global ManagementAlphabetFounders Fund
2025-09-16Post Ipo Debt· $355M
2021-03-03IPO
2020-12-17Private Equity· $140M

Leadership Team

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Mark Bertolini
Chief Executive Officer
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Steven B. Kelmar
Executive Vice President & COS
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Company data provided by crunchbase