Location & Practice Overview

This Senior Care Specialist role is based in Cleveland, Ohio, and operates entirely as a work-from-home position within Sagility’s clinical operations supporting healthcare payers.

Practice Type Telephonic care management for health plan members
Care Setting Fully remote / virtual
Geographic Context Cleveland, OH listing; work performed from home
Organizational Context Healthcare business process management supporting payers

Responsibilities

  • Conduct comprehensive telephonic health assessments to evaluate member needs, existing conditions, and risk factors.
  • Develop individualized, actionable, and measurable care plans with defined health goals.
  • Establish ongoing health coaching relationships with members and caregivers while delivering education on chronic condition management.
  • Coordinate healthcare services, provider appointments, durable medical equipment, and home health resources across the care team.
  • Support transitions of care and discharge planning to promote continuity and safe movement between care settings.
  • Document assessments, interventions, care plans, and outcomes accurately across multiple electronic systems.

The role centers on telephonic clinical judgment, barrier identification, and multidisciplinary coordination to help members progress toward measurable health outcomes.

Qualifications & Requirements

Candidates must hold valid licensure and demonstrate clinical experience suitable for independent remote care management.

Licensure
Active unrestricted RN license in state of residence plus active Compact RN license
Clinical Experience
Minimum 2 years clinical nursing experience; 3 or more years preferred
Preferred Background
Care coordination, case management, chronic condition management, or telephonic nursing
Technical Skills
Intermediate to advanced proficiency with Microsoft Word, Excel, Outlook, and electronic medical records
Professional Competencies
Strong clinical judgment, critical thinking, independent remote work ability, and clear verbal/written communication

Compensation & Benefits

Starting compensation is set at $37.00 per hour and may be negotiated based on relevant experience and qualifications.

  • Starting rate of $37.00 per hour
  • Daily Pay option allowing access to earned wages before the regular payday (subject to program terms)
  • Eligibility for bonuses and/or incentives for employees who remain active through the required seasonal assignment duration

Schedule & Work Environment

Employment Status Full-time seasonal
Work Arrangement Fully remote / work from home
Assignment Duration Tentatively through June 2027 (subject to business and client needs)
Primary Mode Telephonic member interactions and computer-based documentation

Patient Population & Clinical Setting

The position supports health plan members who require assistance managing ongoing health needs and navigating available resources.

Member Groups Medicare beneficiaries, Medicaid members, and/or group health plan members
Clinical Complexity Individuals with chronic medical conditions and complex healthcare needs
Age Focus Elderly individuals and adults with multi-condition needs
Care Context Telephonic engagement addressing physical, environmental, and psychosocial factors

Clinical Focus & Key Services

The clinical core of this role centers on Whole Person Care for members with chronic and complex conditions through structured telephonic assessment and ongoing management.

Assessment Focus Comprehensive telephonic evaluation of health status, risks, and barriers
Care Planning Individualized, measurable care plan development and goal tracking
Chronic Condition Support Education and coaching to promote self-management of ongoing conditions
Care Continuity Transitions of care, discharge coordination, and resource navigation

Role Highlights

This Senior Care Specialist position offers an opportunity to work in a payer-focused nursing environment rather than a traditional hospital or outpatient facility. The role combines virtual clinical operations, population-based care management, and individualized member support within Sagility’s healthcare services model.

  • Remote nursing position within healthcare operations supporting U.S. health plans and their members.
  • Payer-side clinical practice focused on care management rather than direct bedside or facility-based nursing.
  • Whole Person Care model that considers physical health, environmental circumstances, and psychosocial factors.
  • Member population includes Medicare beneficiaries, Medicaid participants, and group health plan members with complex healthcare needs.
  • Full-time seasonal opportunity with a defined tentative assignment period through June 2027.

About Sagility

Sagility is a tech-enabled healthcare business process management company that partners with U.S. payers and providers to improve operational efficiency, member engagement, and clinical and financial outcomes. The organization combines decades of healthcare domain expertise with technology solutions across clinical management, care coordination, claims processing, payment integrity, and analytics.

Organization Type Healthcare-focused business process management and technology services
Primary Clients U.S. health plans and provider organizations
Service Areas Clinical management, case management, member engagement, claims, payment integrity, analytics
Scale Global delivery across the United States, India, the Philippines, Jamaica, and Colombia

Frequently Asked Questions

Is a Compact RN license required in addition to the state license?
Yes. The position requires both an active unrestricted RN license in the state of residence and an active Compact RN license that permits practice in applicable compact states.
Does the role involve any in-person patient care or facility visits?
No. All clinical work is performed telephonically from a home office setting with computer-based documentation and coordination.
What happens at the end of the seasonal assignment in June 2027?
The assignment is tentative through June 2027 and remains subject to business and client requirements. Continuation beyond that date is not guaranteed.
Are specific chronic disease programs or condition specialties assigned?
The available posting does not specify particular disease-focused programs. The role supports members with chronic and complex needs under a Whole Person Care approach.
Is the starting hourly rate fixed or open to discussion?
The listed starting rate is $37.00 per hour and may be negotiated based on relevant clinical experience, qualifications, skills, and business needs.

Remote Senior Care Specialist (RN) in Cleveland, OH

The Senior Care Specialist (Registered Nurse) position at Sagility in Cleveland, Ohio, is a remote nursing opportunity within the healthcare payer services sector. Unlike traditional hospital and outpatient nursing positions, this role operates within a virtual clinical management environment supporting U.S. health plans. Its focus is senior and complex-care management for members enrolled in Medicare, Medicaid, and employer-sponsored group health plans. The position combines telephonic nursing services with a Whole Person Care approach, connecting clinical needs with broader healthcare access and support considerations. Listed in Cleveland, this full-time seasonal opportunity is structured as a work-from-home role, making it relevant to registered nurses exploring remote care management and telephonic case management careers.

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