CCM Case Manager (Care Coordination)

Quick Facts

• Title: CCM Case Manager (Care Coordination)

• Work model: Fully remote (U.S. residents; excludes AK, DE, HI, LA, MT, ND, OK, WV, WY and U.S. Territories)

• Reports to: Manager, Clinical Program

Description

The CCM Case Manager collaborates across teams to deliver high-quality care and improve member health outcomes. The role includes member education, SDOH assessment, and connecting individuals to community resources, while supporting process improvement and pilot programs. Responsibilities also include care coordination across settings and acting as a dedicated advocate to resolve barriers to care.

Responsibilities

• Coordinate care across inpatient, outpatient, ER, and home care settings while maintaining strict confidentiality

• Partner with members and providers to create personalized care plans for better clinical outcomes

• Assess and address Social Determinants of Health (SDOH) by connecting members with tailored community support resources

• Provide crisis intervention support and advocate on behalf of members to improve treatment compliance

• Engage with members via phone, secure messaging, or in-person to educate on conditions, hospital discharges, procedures, and prescriptions

• Ensure compliance with applicable laws and regulations

• Perform other duties as assigned

Requirements

• 2+ years of clinical experience including hospital, outpatient, or community-based care management

• 2+ years of experience working directly with patients with chronic medical conditions (e.g., diabetes, COPD, hypertension)

• 1+ years of care coordination and navigation experience

• Active, unrestricted RN licensure in the U.S. in a specified state OR active compact multistate unrestricted RN license OR an MSW from a CSWE-approved, nationally accredited school

Benefits

• Full-time benefits: medical, dental, vision

• 401(k) participation, life and disability insurance

• 11 paid holidays, paid sick time

• Paid parental leave

• Paid wellness time and reimbursements

• Monthly vacation accrual at 15 days/year

• Pay base range (CA/CT/NJ/NY/WA): $75,348–$98,894/year; other locations: $67,813–$89,004/year