Is the Case Management Nurse I (Remote Eligible) position at Wellmark, Inc. fully remote?

Yes, this Case Management Nurse I (Remote Eligible) position at Wellmark, Inc. is a remote position. The role is available for candidates in United States.

Is this a full-time or part-time Case Management Nurse I (Remote Eligible) role?

This is a contract Case Management Nurse I (Remote Eligible) position at Wellmark, Inc..

What benefits does Wellmark, Inc. offer for this position?

Wellmark, Inc. offers the following benefits: Health Insurance, Professional Development, Remote Work.

How do I apply for the Case Management Nurse I (Remote Eligible) position at Wellmark, Inc.?

You can apply for this Case Management Nurse I (Remote Eligible) position by clicking the "Apply Now" button on this page, which will take you to Wellmark, Inc.'s application portal.

Case Management Nurse I (Remote Eligible) at Wellmark, Inc.

United States

<section class="job-section" id="st-companyDescription"><div><p class="googlejobs-paragraph--empty"></p><h2 class="title">Company Description</h2></div><div class="wysiwyg spl-wysiwyg"><p><strong>Why Wellmark</strong>: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today! </p><p>Learn more about our unique benefit offerings <a href="https://www.wellmark.com/about/careers/benefits" rel="noopener noreferrer">here</a>. </p></div></section><section class="job-section" id="st-jobDescription"><div><p class="googlejobs-paragraph--empty"></p><h2 class="title">Job Description</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="responsibilities"><p><strong>Use Your Strengths as a Case Management Nurse I at Wellmark! </strong></p><p><strong>About the role:</strong> As a Case Management Nurse I, you will serve as a key advisor who actively engages with members through a variety of channels to foster a caring and trusting level of connection in order to support their chronic and/or complex health care needs and concerns. You will create and manage unique, individualized care plans that ensure the best possible health care goals and complex health needs are reasonably met. You will partner with members, members’ families, health care providers and community resources to coordinate and facilitate care and services.  </p><p><strong>About you:</strong> You are a dedicated, caring health care professional motivated and inspired by the opportunity to provide ongoing personalized support and education to our members. You thrive in a fast-paced work environment where your time management, prioritization, and multi-tasking skills are critical to success. You see yourself as being resourceful, collaborative and adaptable with a keen ability to influence. Technology savviness, such as experience in utilizing and troubleshooting Microsoft Office products (Outlook, Excel, Teams, etc), is a must.  </p><p><strong>Candidates located in Iowa or South Dakota preferred. Top candidates will have prior health plan experience along with a diverse clinical background, including behavioral health experience.</strong></p><p><strong>In this position, you will be required to obtain a Certified Case Manager (CCM) certification within 24 months from date of hire and maintain throughout time served in position. This role is remote eligible and will require candidates to provide high-speed internet at their work location. </strong></p></div></section><section class="job-section" id="st-qualifications"><div><p class="googlejobs-paragraph--empty"></p><h2 class="title">Qualifications</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="qualifications"><p><strong>Preferred Qualifications - Great to have:</strong></p><ul><li>Certified Case Manager (CCM).</li><li>Care navigation/care coordination experience strongly preferred.</li><li>Behavioral health experience.</li></ul><p><strong>Required Qualifications - Must have:</strong></p><ul><li>Completion of an accredited nursing program.</li><li>Active and unrestricted RN License in Iowa or South Dakota. Individual must be licensed in the state in which they reside.</li><li>Certified Case Manager (CCM); must obtain within 24 months of hire.</li><li>4+ years of diverse clinical experience (e.g., acute care, outpatient, home health, etc.) that reflects 4+ years of direct clinical care to the consumer. Experience in utilization management or health insurance setting beneficial.</li><li>Strong verbal communication skills; influences action and facilitates crucial conversations regarding care with members, physicians, and care facilities.</li><li>Maintains courtesy and professionalism when engaging with members, internal and external stakeholders.</li><li>Strong written communication skills, including accurate documentation of events within the case management platform; ensures quality and consistency by following guidelines and processes.</li><li>Commitment to service excellence and member advocacy; uses critical thinking and problem-solving skills to anticipate member and provider needs.</li><li>Resourceful self-starter who demonstrates strong understanding of resources, processes, and guidelines. Able to make independent decisions or recommendations under ambiguity.</li><li>Ability to organize and manage multiple priorities in a dynamic work environment where quality and/or production goals are measured. Commitment to timeliness, follow up, accuracy and attention to detail. Flexible and adapts to change.</li><li>Strong technical acumen; learns new systems quickly - e.g., Microsoft Office, clinical documentation platforms, etc.</li><li>Knowledge of standards and regulations - e.g., URAC, NCQA, HIPAA, PHI confidentiality.</li></ul></div></section><section class="job-section" id="st-additionalInformation"><div><p class="googlejobs-paragraph--empty"></p><h2 class="title">Additional Information</h2></div><div class="wysiwyg spl-wysiwyg" itemprop="incentives"><p><strong>What you will do as a Case Management Nurse I:</strong></p><p><strong>*Must be flexible and have the ability work weekend and/or holiday hours when needed on a rotational basis.</strong></p><p>a.  Utilize critical thinking to recognize signs and symptoms of potential high-risk and complex conditions that warrant different or greater levels of support and proactively anticipate member needs in the navigation of the health care system and the benefits and resources available.</p><p>b. Discuss the care needs with the member through supportive, focused intervention methods and effective planning techniques.<br> <br> c. Proactively identify barriers and gaps to care while designing, creating, and managing unique, individualized care plans that ensure members/providers have good communication channels, that members receive appropriate care, that potential duplication of services is avoided, and education is provided to help enable them to achieve the best possible health care goals.<br> <br> d. Partner with members, members’ families, health care providers and community resources to coordinate and facilitate the care and services needed.<br> <br> e. Actively engage members as participants in their unique care management plan and educate on their personal accountabilities and expected outcomes. Advise on included benefits and services that are appropriate for their current medical status, and how those benefits and services can positively impact not only their medical status, but also the total cost of care.<br> <br> f. Stay curious and engaged by actively continuing to partner with other members of the Wellmark Team and research appropriate resources and/or programs as science and technology evolves, that may help to improve the health of assigned members going forward. Continue collaborative efforts with other clinical and nonclinical stakeholders, both internal and external to Wellmark, to provide optimal service and meet the needs of the member and coordinate care. Facilitate additional referrals to providers, community resources/programs, and specific Wellmark programs, as necessary.<br> <br> g. Using relevant technology tools, document care management activities accurately, consistently, and timely by following the standard work guidelines and policies to support internal and external processes. Comply with regulatory standards, accreditation standards and internal guidelines. Remain current and consistent with the specific standards pertinent to the Care Management team.<br> <br> h. Other duties as assigned.</p><div sr-tagline></div><p><strong>Remote Eligible:</strong> You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well.  </p> <p><u><em><strong>An Equal Opportunity Employer</strong></em></u></p><p><em>The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.</em></p><p><em>Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at </a></em></p> <p><em>Please inform us if you meet the definition of a "<a href="https://www.acquisition.gov/dfars/252.203-7000-requirements-relating-compensation-former-dod-officials." rel="noopener noreferrer">Covered DoD official</a>".</em></p> <p>At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:<u><a href="https://www.uscis.gov/working-in-the-united-states/temporary-nonimmigrant-workers" target="_blank" rel="noopener noreferrer">Nonimmigrant Workers</a></u> and <u><a href="https://www.uscis.gov/green-card/green-card-eligibility/green-card-for-employment-based-immigrants" target="_blank" rel="noopener noreferrer">Green Card for Employment-Based Immigrants</a></u> </p> <p>Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them. </p></div></section><li class="job-detail">Department: Clinical | Health Networks | Provider Support</li><li class="job-detail">Work Environment: Remote Eligible *see job footer for more info</li><li class="job-detail">Pay Grade: 20</li>

Apply Now

Remote Opportunity

Case Management Nurse I (Remote Eligible)

Join Wellmark, Inc. as a mid professional working remotely from United States. Explore the role, benefits, and apply in one place.

Case Management Nurse I (Remote Eligible)

Wellmark, Inc.

Contract

2 weeks ago

Company Description Why Wellmark : We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits.

United States

Engineering

Mid

Case management

Care coordination

Nursing

+5 more

Job Description

Company Description

Why Wellmark: We are a mutual insurance company owned by our policy holders across Iowa and South Dakota, and we’ve built our reputation on over 80 years’ worth of trust. We are not motivated by profits. We are motivated by the well-being of our friends, family, and neighbors–our members. If you’re passionate about joining an organization working hard to put its members first, to provide best-in-class service, and one that is committed to sustainability and innovation, consider applying today!

Learn more about our unique benefit offerings here.

Job Description

Use Your Strengths as a Case Management Nurse I at Wellmark!

About the role: As a Case Management Nurse I, you will serve as a key advisor who actively engages with members through a variety of channels to foster a caring and trusting level of connection in order to support their chronic and/or complex health care needs and concerns. You will create and manage unique, individualized care plans that ensure the best possible health care goals and complex health needs are reasonably met. You will partner with members, members’ families, health care providers and community resources to coordinate and facilitate care and services.

About you: You are a dedicated, caring health care professional motivated and inspired by the opportunity to provide ongoing personalized support and education to our members. You thrive in a fast-paced work environment where your time management, prioritization, and multi-tasking skills are critical to success. You see yourself as being resourceful, collaborative and adaptable with a keen ability to influence. Technology savviness, such as experience in utilizing and troubleshooting Microsoft Office products (Outlook, Excel, Teams, etc), is a must.

Candidates located in Iowa or South Dakota preferred. Top candidates will have prior health plan experience along with a diverse clinical background, including behavioral health experience.

In this position, you will be required to obtain a Certified Case Manager (CCM) certification within 24 months from date of hire and maintain throughout time served in position. This role is remote eligible and will require candidates to provide high-speed internet at their work location.

Qualifications

Preferred Qualifications - Great to have:

Certified Case Manager (CCM).
Care navigation/care coordination experience strongly preferred.
Behavioral health experience.

Required Qualifications - Must have:

Completion of an accredited nursing program.
Active and unrestricted RN License in Iowa or South Dakota. Individual must be licensed in the state in which they reside.
Certified Case Manager (CCM); must obtain within 24 months of hire.
4+ years of diverse clinical experience (e.g., acute care, outpatient, home health, etc.) that reflects 4+ years of direct clinical care to the consumer. Experience in utilization management or health insurance setting beneficial.
Strong verbal communication skills; influences action and facilitates crucial conversations regarding care with members, physicians, and care facilities.
Maintains courtesy and professionalism when engaging with members, internal and external stakeholders.
Strong written communication skills, including accurate documentation of events within the case management platform; ensures quality and consistency by following guidelines and processes.
Commitment to service excellence and member advocacy; uses critical thinking and problem-solving skills to anticipate member and provider needs.
Resourceful self-starter who demonstrates strong understanding of resources, processes, and guidelines. Able to make independent decisions or recommendations under ambiguity.
Ability to organize and manage multiple priorities in a dynamic work environment where quality and/or production goals are measured. Commitment to timeliness, follow up, accuracy and attention to detail. Flexible and adapts to change.
Strong technical acumen; learns new systems quickly - e.g., Microsoft Office, clinical documentation platforms, etc.
Knowledge of standards and regulations - e.g., URAC, NCQA, HIPAA, PHI confidentiality.

Additional Information

What you will do as a Case Management Nurse I:

*Must be flexible and have the ability work weekend and/or holiday hours when needed on a rotational basis.

a. Utilize critical thinking to recognize signs and symptoms of potential high-risk and complex conditions that warrant different or greater levels of support and proactively anticipate member needs in the navigation of the health care system and the benefits and resources available.

b. Discuss the care needs with the member through supportive, focused intervention methods and effective planning techniques.

c. Proactively identify barriers and gaps to care while designing, creating, and managing unique, individualized care plans that ensure members/providers have good communication channels, that members receive appropriate care, that potential duplication of services is avoided, and education is provided to help enable them to achieve the best possible health care goals.

d. Partner with members, members’ families, health care providers and community resources to coordinate and facilitate the care and services needed.

e. Actively engage members as participants in their unique care management plan and educate on their personal accountabilities and expected outcomes. Advise on included benefits and services that are appropriate for their current medical status, and how those benefits and services can positively impact not only their medical status, but also the total cost of care.

f. Stay curious and engaged by actively continuing to partner with other members of the Wellmark Team and research appropriate resources and/or programs as science and technology evolves, that may help to improve the health of assigned members going forward. Continue collaborative efforts with other clinical and nonclinical stakeholders, both internal and external to Wellmark, to provide optimal service and meet the needs of the member and coordinate care. Facilitate additional referrals to providers, community resources/programs, and specific Wellmark programs, as necessary.

g. Using relevant technology tools, document care management activities accurately, consistently, and timely by following the standard work guidelines and policies to support internal and external processes. Comply with regulatory standards, accreditation standards and internal guidelines. Remain current and consistent with the specific standards pertinent to the Care Management team.

h. Other duties as assigned.

Remote Eligible: You will have the flexibility to work where you are most productive. This position is eligible to work fully remote. Depending on your location, you may still have the option to come into a Wellmark office if you wish to. Your leader may ask you to come into the office occasionally for specific meetings or other ‘moments that matter’ as well.

An Equal Opportunity Employer

The policy of Wellmark Blue Cross Blue Shield is to recruit, hire, train and promote individuals in all job classifications without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or any other characteristic protected by law.

Applicants requiring a reasonable accommodation due to a disability at any stage of the employment application process should contact us at

Please inform us if you meet the definition of a "Covered DoD official".

At this time, Wellmark is not considering applicants for this position that require any type of immigration sponsorship (additional work authorization or permanent work authorization) now or in the future to work in the United States. This includes, but IS NOT LIMITED TO: F1-OPT, F1-CPT, H-1B, TN, L-1, J-1, etc. For additional information around work authorization needs please refer to the following resources:Nonimmigrant Workers and Green Card for Employment-Based Immigrants

Wellmark supports and expects the responsible use of AI for our workforce! We welcome the responsible use of these tools by job seekers as well and are interested in learning from you; you will have an opportunity in the application process to share which tools you used and how you applied them.

Department: Clinical | Health Networks | Provider Support

Work Environment: Remote Eligible *see job footer for more info

Pay Grade: 20

Benefits

Health Insurance
Professional Development
Remote Work

Skills

Case management

Care coordination

Nursing

Behavioral Health

Clinical Documentation

Critical Thinking

Time Management

Prioritization

Ready to Apply?

Join Wellmark, Inc. today

Posted 2 weeks ago

More Engineering roles you might like

Discover similar opportunities from companies that are also hiring remotely.

Project Manager - Commercial Construction

Powerhouse Retail Services LLC

Full Time

6 days ago

Project Manager at Powerhouse Supercharge Your Career at Powerhouse! Powerhouse is looking for a motivated and detail-oriented Project Manager to join our growing team.

United States

Engineering

Backend Engineering

Senior

Project Management

Client Relationship Management

Construction Management

+5 more

Project Manager - Commercial Construction

Powerhouse Retail Services LLC

Full Time

6 days ago

Project Manager at Powerhouse Supercharge Your Career at Powerhouse! Powerhouse is looking for a motivated and detail-oriented Project Manager to join our growing team.

United States

Engineering

Backend Engineering

Senior

Project Management

Client Relationship Management

Construction Management

+5 more

Weekend Customer Service Representative (Part Time)

DIRAD TECHNOLOGIES INC

Part Time

6 days ago

This Part Time Customer Service Representative position will assist inbound callers with program inquiries and website utilization. Reliability and flexibility are both crucial for this role. Full training is provided!

United States

Engineering

Backend Engineering

Entry

Customer Service

Verbal communication

Written Communication

+5 more

Explore more remote openings

Browse fresh listings from our global community of remote-friendly teams.

Insurance Litigation Attorney

Cohen Law Group-Florida PA

Full Time

$150k - $250k

6 days ago

Help Us Build Our Arizona Practice What if your next opportunity wasn't just another job? Cohen Law Group is expanding its Arizona practice and looking for an Arizona-licensed attorney who is excited about the opportunity to help shape and grow our presence in the state.

United States

Legal

Mid

Litigation

Insurance Law

Case management

+5 more

Technical Program Manager - Embedded Software

EnCharge AI

Full Time

$200k - $250k

6 days ago

EnCharge AI is building a new generation of AI compute systems designed to deliver dramatically higher energy efficiency for AI inference. Our technology combines innovative compute architectures with a full-stack software platform spanning silicon, firmware, drivers, compilers, runtimes, and AI…

United States

Engineering

Backend Engineering

Staff

Technical Program Management

Embedded Software

Silicon Bring-up

+5 more

💥 Make an Impact Become a Life Insurance Producer

GIA Legacy Planning

Full Time

6 days ago

💥About Us: We are a forward-thinking life insurance agency that’s revolutionizing the way producers build their careers. Our mission is to provide outstanding protection for families while creating meaningful opportunities for individuals to grow their businesses within the life insurance industry.

United States

Engineering

Backend Engineering

Entry

Sales

Insurance

Client Relationship Management

+5 more

Head of Growth

Richpanel

Full Time

$160k - $200k

6 days ago

Make Richpanel the company every CX leader knows before they need us. Richpanel is the AI-native helpdesk. We replace the old helpdesk and the next few support hires. We are profitable, backed by Sequoia Capital, and trusted by 3,000+ paying brands. Our team is small by design.

United States

Marketing

Growth Marketing

Senior

Product Marketing

Brand Marketing

Category Creation

+5 more

Creative Designer

Freebird

Full Time

6 days ago

Do you get the same charge from concepting a full campaign as you do from turning around a killer Amazon listing before the end of day? Can you jump from a paid social ad, to an email build, to a landing page, and make all of them feel unmistakably on-brand?

Canada

Design

Product Design

Senior

Visual Design

Figma

Campaign Concepting

+5 more

Senior Full-Stack Developer (Canada)

Proof

Full Time

CAD 135k - CAD 165k

6 days ago

About Proof We're Proof , a high growth company in the legal tech industry founded in 2017. We've built a best-in-class legal services platform used by thousands of law firms with a sustained average growth rate of over 10%.

Canada

Engineering

Full Stack Engineering

Mid

React

TypeScript

+5 more

Senior Full-Stack Developer (Canada)

Proof

Full Time

CAD 135k - CAD 165k

6 days ago

Canada

Engineering

Full Stack Engineering

Mid

React

TypeScript

+5 more

Claims Coordinator (12-Month Contract)

Disability Management Institute

Full Time

CAD 45k - CAD 55k

6 days ago

Claims Coordinator (12-Month Contract) Who We Are At Disability Management Institute (DMI), we deliver innovative, end-to-end disability and absence management solutions that transform how employers support their teams.

Canada

Engineering

Backend Engineering

Mid

Claims Processing

Administrative Support

Customer Service

+5 more

Claims Coordinator (12-Month Contract)

Disability Management Institute

Full Time

CAD 45k - CAD 55k

6 days ago

Canada

Engineering

Backend Engineering

Mid

Claims Processing

Administrative Support

Customer Service

+5 more

Fundraising and External Relations Director

MedAmerica

Full Time

$102.29k - $130.42k

6 days ago

Remote, Nationwide – Seeking Fundraising and External Relations Director Everybody Has A Role To Play In Transforming Healthcare At Vituity you are part of a larger team that is driven by our purpose to improve lives.

United States

Engineering

Backend Engineering

Staff

fundraising

Major gift solicitation

Donor Management

+5 more

Fundraising and External Relations Director

MedAmerica

Full Time

$102.29k - $130.42k

6 days ago

United States

Engineering

Backend Engineering

Staff

fundraising

Major gift solicitation

Donor Management

+5 more

Content Collection for Advertising Rescue Dogs - Volunteer (Unpaid)

Path of Hope Rescue

Part Time

6 days ago

Updated/Reviewed 12.04.25 Foster Dog Content Collection Job Industry: Charity / Social Services / Non- Profit Organization Position Name: Foster Dog Content Collection for Dog Rescue - Volunteer (Unpaid) Job Location: Spokane, Washington, United States Job Type: Part Time Office Setting: Fully…

United States

Marketing

Content Marketing

Entry

Content Collection

Data Organization

Communication

+5 more