CCM Case Manager
Oscar Health
Salary undisclosed
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Description
Hi, we're Oscar. We're hiring a CCM Case Manager to join our Complex Case Management team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.
About the role:
The Case Manager collaborates across Oscar teams to deliver high-quality care and improve member health outcomes. In this role, the Case Manager will educate members, evaluate Social Determinants of Health (SDOH), and connect individuals with community resources while contributing to process improvement initiatives and new pilot programs as required.
You will report into our Manager, Clinical Programs.
Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events.
Pay Transparency: The base pay for this role in the states of California, Connecticut, New Jersey, New York, and Washington is: $75,348 - $98,894 per year. The base pay for this role in all other locations is: $67,813 - $89,005 per year. You are also eligible for employee benefits, monthly vacation accrual at a rate of 15 days per year.
Responsibilities:
- Coordinate care across settings (inpatient, outpatient, ER, and home care) while maintaining strict confidentiality and high professional standards.
- Partner with members and providers to navigate complex health challenges and create personalized care plans that create better clinical outcomes.
- Assess and address Social Determinants of Health (SDOH) by connecting members with tailored community support resources.
- Provide crisis intervention support and act as a dedicated member advocate to resolve barriers to care and treatment compliance.
- Engage directly with members by phone, secure messaging, or in-person, to provide education on health conditions, hospital discharges, medical procedures, and new prescriptions.
- Compliance with all applicable laws and regulations.
- Other responsibilities as assigned.
Requirements:
- 2+ years of clinical experience to include hospital, outpatient or community based care management
- 2+ years of experience working directly with patients with chronic medical conditions (e..g diabetes, COPD, hypertension), demonstrating a solid understanding of disease trajectories, common treatment regimens, and symptom management
- 1+ years experience Care Coordination and Navigation
- Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license or Masters in Social Work (MSW) from a graduate of a Nationally Accredited School approved by the Council on Social Work Education.
Bonus points:
- BSN
- Licensed Master Social Worker or Licensed Clinical Social Worker
- CCM Certification
- Case Management experience
- Complex Case Management certification
- Bilingual skills (Spanish)
This is an authentic Oscar Health job opportunity.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant’s disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.
California Residents: For information about our collection, use, and disclosure of applicants’ personal information as well as applicants’ rights over their personal information, please see our Privacy Policy.
Benefits
- health insurance
- 401(k)
- parental leave
- disability insurance
- sick leave
About this role
Oscar's Complex Case Management team is looking for a clinician to work directly with members navigating complex health challenges. As a CCM Case Manager, you'd coordinate care across multiple settings, develop personalized care plans, and connect members with community resources—particularly focusing on the social and economic factors that affect their health. The role involves regular member contact via phone, messaging, and occasional in-person visits, combined with crisis support and advocacy to remove barriers to treatment and care compliance.
You'll need at least two years of clinical experience in hospital, outpatient, or community settings, plus demonstrated expertise working with chronic conditions like diabetes, COPD, and hypertension. An active RN license (including multistate compact), an MSW from an accredited program, or relevant case management credentials will qualify you. The position is fully remote for candidates in 17 states, though occasional travel for team meetings may be required. Base pay ranges from $67,813 to $89,005 annually depending on location, with standard benefits including medical, dental, vision, 11 paid holidays, paid parental leave, and a 401(k).
This role suits someone with clinical judgment and genuine interest in member advocacy—someone comfortable moving between clinical assessment, resource navigation, and process improvement work. Spanish fluency, a BSN, CCM certification, or complex case management experience would strengthen your candidacy.
How this employer is doing
solid
- Financial News
- Expanding
In the news
Oscar Health Plans Major Obamacare Expansion Over Next Three Years, Forbes
This role's local market on JobMinglr
Pay for this role
The employer didn't post a pay range for this role. That usually means pay is set in negotiation, which favors whoever arrives with numbers. Check ranges on comparable CCM Case Manager postings in Atlanta, and analyze any offer before you accept it.
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