Jobs in the United States

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Added 3 mins ago
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Associate Broker - Large & Complex Casualty
WTW
Los Angeles, CA
- $65,000 to $85,000 USD / year
Insurance broker’s P&C license required – If not held, must obtain within 3 months of employment
Added 7 mins ago
PN
Post Bachelor Research Associate - Full Stack Product
Pacific Northwest National Laboratory
Richland, WA
- $27.5 to $35.77 USD / hour
The AI and Data Analytics Division, part of the National Security Directorate, combines profound domain expertise and creative integration of advanced hardware and software to deliver…
Added 14 mins ago
Sr Program Manager, AI & Data, Global Corporate Communications
Amazon.com Services LLC
Seattle, WA · Arlington, VA · New York, NY
Amazon Global Corporate Communications (GCC) is looking for a Senior Program Manager to lead the data and AI systems that GCC's teams rely on. You'll build the shared foundation beneath…
Added 14 mins ago
Senior Software Development Engineer, OpenSearch Platform Team
Amazon Development Center U.S., Inc.
Santa Clara, CA
Amazon OpenSearch Service powers search, log analytics, observability, and vector workloads for tens of thousands of customers. Every one of those customers runs on software that our Data…
Added 15 mins ago
Senior Data Engineer
Skanska USA
Charlotte, NC
The Senior Data Engineer is a senior technical contributor within the Data Management and Analytics team responsible for the design, technical leadership, delivery, and operation of complex…
Added 18 mins ago
CR
2027 Summer Intern - Architectural Engineer, Facilties
Charles River
Remote, United States
- $21 to $24 USD / hour
assisting with equipment assessments, updating engineering documentation, collecting and analyzing system performance data, and collaborating with Facilities Engineering staff on projects…
Added 28 mins ago
AI Platform Engineer
Avesis, LLC
Remote, United States
The Junior AI Platform Engineer assists with building, testing, and supporting enterprise AI solutions that use Retrieval-Augmented Generation (RAG), vector search, Azure AI services, and…
Added 43 mins ago
A
Operations Manager / Front Office Manager / Rooms Department Manager (Residential Property)
AccorHotel
San Francisco, CA
- $82,000 to $98,000 USD / year
Join a dynamic team and be part of a network of 90 spectacular properties, and 34 more in the pipeline, in 30 countries around the globe. Our properties are located from the beaches of…
Added 48 mins ago
Consulting_Supply Chain_Systems Implementation and Engineering_Manager
EY
Jefferson City, MO
To Qualify for the Role, You Must Have:
Added 48 mins ago
Consulting_Supply Chain_Systems Implementation and Engineering_Manager
EY
Kansas City, MO
To Qualify for the Role, You Must Have:
Added 48 mins ago
Consulting_Supply Chain_Systems Implementation and Engineering_Manager
EY
Saint Louis, MO
To Qualify for the Role, You Must Have:
Added 49 mins ago
Lead Product Manager – Analytics / Data Products (Hybrid)
C T Corporation System (DE)
New York City, NY · Minneapolis, MN
Analytical Expertise: Strong skills in data interpretation and reporting.
Added 50 mins ago
Director, Solutions Architecture & Application Engineering – Data Centers
Honeywell
Atlanta, GA
The Director, Solutions Architecture & Application Engineering – Data Centers leads Honeywell Technologies’ global Solutions Architecture and Application Engineering capability for the data…
Added 50 mins ago
Senior Director, Portfolio Management - Data Centers
Honeywell
Atlanta, GA
Define software integration requirements. Establish common data models, interfaces and interoperability standards for unified monitoring and management of power, cooling, safety, security…
Added 1 hour ago
Pharmacy Analyst
Hub International Limited
St. Louis, MO · Metairie, LA · Omaha, NE · Dallas, TX · Tulsa, OK · Houston, TX · Oklahoma City, OK · Fort Worth, TX · Chicago, IL
The Pharmacy Analyst will serve as a core analytical resource within HUB’s national pharmacy analytics team, delivering data-driven analyses and reporting that drive pharmacy benefit…
Added 1 hour ago
Senior Legal AI & Analytics Specialist, Legal Operations
Illumina, Inc.
CA
Analytics Skills: Advanced Excel (pivot tables, Power Query, lookups) and hands-on dashboard development in Power BI (DAX/data modeling) or Tableau, with experience extracting, reconciling…
Added 1 hour ago
Staff Project Manager, Legal Operations
Illumina, Inc.
CA
Monitor and Measure Success: Work with the Data Analytics Analyst to define, track and report KPIs and KRIs, such as cycle time, throughput, spend versus budget and adoption. Manage project…
Added 1 hour ago
Clinical Program Senior Advisor - Remote - Express Scripts (Academic Detailing)
The Cigna Group
United States
Current pharmacist license required; relevant PBM, managed care, health plan, provider engagement, or clinical program experience preferred
Added 1 hour ago
Director of Marketing
Kirby-Smith Machinery, Inc.
Oklahoma City, OK
Working knowledge of marketing analytics and CRM platforms, with the ability to turn dashboard data into decisions
Added 1 hour ago
Sales Manager, Costco
True Classic
Remote, United States
- Build the annual roadshow calendar, including door selection from performance data, show format and timing, and on-time submission
Added 1 hour ago
Business Development Director Legal, Compliance & Risk
BDO USA Experienced
Stamford, CT
Under the direction of the National Director, Channel Business Development and in collaboration with practice leadership, and the Chief Business Development Officer, the Director of…
Added 1 hour ago
Content Strategist & Writer
Onterris Payroll, LLC
Remote, United States
· Ability to use content analytics and performance insights to optimize engagement, conversions and business impact.
Added 1 hour ago
Senior Technical Product Manager
E2E Alignment Healthcare USA, LLC
Remote, United States
Lead requirements definition and roadmap execution for operations, clinical, and care coordination products across engineering, data science, and data teams. Translate ambiguous problems…
Added 1 hour ago
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Senior Software Engineer, Claims & AI Billing
Commure
Mountain View, CA · Los Angeles, CA · San Francisco, CA
- $180,000 to $230,000 USD / year
As a Senior Software Engineer, you'll work across the stack, from data-dense workflows in the UI to the backend pipelines, integrations, and rule engines that power them. You'll own…
Added 1 hour ago
C
Staff Software Engineer, Claims & AI Billing
Commure
Mountain View, CA · Los Angeles, CA · New York City, NY · San Francisco, CA
- $210,000 to $275,000 USD / year
As a Staff Software Engineer, you'll work across the stack, from data-dense workflows in the UI to the backend pipelines, integrations, and rule engines that power them. You'll own…

Guidehealth

RN Case Manager - Remote

Remote, United States

$80,000 to $83,000 USD / year

Apply on jobs.smartrecruiters.com About employer

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Job details

Pay: $80,000 to $83,000 USD / year
Working hours: 30 hours per week
Posting language: English
Posted: Nov 10, 2026

Original job description

Company Description WHO IS GUIDEHEALTH? At Guidehealth, we believe everyone deserves access to high-quality, affordable healthcare that puts patients first. As a physician-led, value-based care healthcare company, our mission is to improve health outcomes by making care more accessible, personalized, and connected. Driven by empathy and supported by AI and predictive analytics, our Healthguides™ work alongside patients and providers to remove barriers to care, build meaningful relationships, and help patients navigate their healthcare journeys. By combining compassionate human support with innovative technology and clinical expertise, we empower providers to focus on what matters most - delivering exceptional care and helping patients live healthier lives.

Job Description

As a registered nurse with an Illinois nursing license, you will work remotely to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team. As an RN Case Manager, the RN will work closely with client and members alike to promote wellness, problem-solve, and assist members in realization of their personal health-care related goals. This role includes telephonic member and provider outreach, data collection and analyzation, reporting, clinical review, medical and behavioral health assessments, and documentation in compliance with Federal/State regulation, NCAQ standard, and company policies and procedures. This position is part of the Value Based Care Services team.

WHAT YOU’LL BE DOING

Managing case assignments which includes extensive patient outreach via telephone, documentation, and monitoring for case progression, and case closure.
Pulling, sorting, and analyzing data to determine member eligibility for the Population Health management program.
Coordinating and providing care that is timely, effective, equitable, safe, and member-centric while following HMO processes.
Meeting reporting and documentation standards while engaging in collaborative meetings with department staff and clients.
Assisting members in reaching wellness and health-autonomy by addressing barriers, social determinants, member motivators, and psychosocial issues.
Helping members make informed decisions by educating them on navigation through the HMO and healthcare spectrum while promoting quality and cost-effective interventions and outcomes.
Supporting operational aspects of the division to meet the organization’s customer requirements and satisfaction.
Maintaining confidentiality related to all computer programs, medical records, and data.
Participation in QM/UM Committee Meetings including material preparation, minutes, data collection, and analysis, reporting, and follow-up tasks which may require in-person attendance.
Rotation in off-hour/weekend calls if applicable.
Responsible for continued professional growth and education that reflects knowledge and understanding of current nursing care practice as outlined in the Illinois Practice Act.
Other responsibilities as assigned and per any changes in annual program requirements.

WHAT YOU'LL NEED TO HAVE FOR SUCCESS

Current IL Registered Nurse License (State of Illinois requires Nursing Professional Staff to complete 20 hours of CE per 2-year license renewal cycle).
Minimum of five years of experience in a variety of health care settings.
Highly experienced in Case Management and Chronic Condition Management.
Previous remote and/or telephonic work experience.
Knowledge of utilization review, quality improvement, managed care, and/or community health.
Basic knowledge of case management principles, healthcare management, and reimbursement components, with experience in motivational interviewing.
Excellent clinical judgment, as well as highly skilled in verbal and written communication.
Strong organizational. problem solving, and time management skills necessary.
Ability to ensure timely completion of projects and assignments.
Ability to prioritize and react based on rapidly changing business needs.
Must have ability to work independently and remotely with multi-tasking skills for fast paced workflows.
Must possess software knowledge including word processing and spreadsheets, computer skills including MS Word, Excel, Access, PDF, Outlook, etc.
Experience navigating multiple EMR’s.

WHAT WE'D LOVE FOR YOU TO HAVE

Certification in Case Management preferred but not required

Qualifications

The salary range for this role is $80,000.00 to $83,000.00 per year based upon experience. Additional Information The hourly rate for this role is up to $31.00 per hour.

ALIVE with Purpose: How We Thrive at Guidehealth At Guidehealth, our values come to life in everything we do.

We are Driven by Accountability - grounded in transparency, reliability, and integrity as we navigate challenges and opportunities alike.
Always Growing, Always Learning - 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 - 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 - together - 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’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

This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealth’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.

Guidehealth responsibly uses AI tools during the recruitment process. Should you wish to opt-out of your application being reviewed by AI, please send your resume to recruiting@guidehealth.com

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Jobs in the United States