Case Manager

Quick Facts

• Role: Case Manager
• Work mode: Fully remote (U.S. residents; excludes AK, DE, HI, LA, MT, ND, OK, WV, WY and U.S. territories)
• Reporting line: Case Management Supervisor

Description

The Case Manager collaborates across teams to deliver high-quality care and improve member health outcomes. You will educate members, assess Social Determinants of Health (SDOH), and connect individuals with community resources, while supporting process improvements and new pilot programs as required.

Responsibilities

• Coordinate care across settings (inpatient, outpatient, ER, home care) with strict confidentiality
• Partner with members and providers to create personalized care plans for better clinical outcomes
• Assess and address SDOH by connecting members to tailored community support resources
• Provide crisis intervention and act as a dedicated advocate to resolve barriers to care and improve treatment compliance
• Engage members via phone, secure messaging, or in-person for education on health conditions, hospital discharges, medical procedures, and new prescriptions
• Ensure compliance with applicable laws and regulations
• Perform other duties as assigned

Requirements

• 2+ years clinical experience in hospital, outpatient, or community-based care management
• 2+ years experience working directly with patients with chronic medical conditions (e.g., diabetes, COPD, hypertension) with understanding of disease trajectories, treatment regimens, and symptom management
• 1+ years care coordination and navigation experience
• Active, unrestricted RN licensure from the U.S. in the listed state, OR active compact multistate unrestricted RN license, OR MSW from a nationally accredited school approved by CSWE

Benefits

• Medical, dental, and vision benefits
• 11 paid holidays, paid sick time, paid parental leave
• 401(k) plan participation
• Life and disability insurance
• Paid wellness time and reimbursements
• Monthly vacation accrual: 15 days per year