Remote Complex Care Manager (RN)

Brighton Health Plan Solutions, LLC seeks a Complex Case Manager (RN) to oversee a caseload of members with complex medical and care coordination needs. The role reports to the Supervisor, Case Management and collaborates with the Senior Director, Case Management for clinical guidance.

This is a remote position with responsibility for comprehensive assessments, care plan development, transitions of care, and coordination with interdisciplinary teams while maintaining HIPAA and NCQA standards.