Job Description
Job Title
Care Management Nurse (USRN) – Medicare Advantage
Location
India / Philippines (Onsite and/or Remote)
Reporting To
Care Management Lead / Clinical Operations Manager
Role Overview
The Care Management Nurse (USRN) – Medicare Advantage is responsible for delivering comprehensive telephonic and/or platform-based care management services to Medicare Advantage members across the continuum of care.
This role focuses on clinical assessment, care planning, risk stratification, member education, chronic condition management, transitional care, and coordination with providers to improve quality outcomes, close care gaps, and reduce avoidable utilization.
The position requires an active USRN license, strong clinical judgment, knowled...