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, knowledge of CMS and Medicare Advantage guidelines, and experience managing elderly and complex popula...