Case Manager

Overview

• Deliver personalized care management services to enhance members' health and quality of life in a fully remote role.
• Develop individualized care plans based on comprehensive assessments of members' needs and goals.
• Coordinate access to healthcare services, community resources, and benefit programs to support members effectively.
• Engage with members' families and support networks to foster positive care outcomes and satisfaction.
• Utilize advanced health information systems to document services and ensure regulatory compliance.
• Monitor adherence to care plans and provide follow-up support after critical health events.
• Collaborate with interdisciplinary teams to deliver holistic and impactful care solutions.
• Support members in navigating transitions between care levels and accessing necessary resources.

Key Responsibilities & Duties

• Conduct thorough assessments to identify members' medical, mental health, and social service needs.
• Develop and manage caseloads, ensuring consistent and meaningful engagement with members.
• Coordinate interdisciplinary teams to implement effective care plans and clinical recommendations.
• Provide transitional care support, ensuring seamless transitions between care levels and services.
• Identify and facilitate referrals to community and social support services for members.
• Maintain accurate and timely documentation in electronic health records, adhering to privacy regulations.
• Assist members in navigating benefit programs and addressing personal planning needs.
• Report concerns related to abuse, neglect, or maltreatment promptly and effectively.

Job Requirements

• Associate of Applied Science (AAS) degree or higher in a relevant field.
• Minimum of 1 year of relevant case management experience; preferred 2 years.
• Proficiency in Microsoft Suite and health information technology systems.
• Strong interpersonal, conflict-management, and communication skills.
• Ability to prioritize tasks, analyze situations, and act effectively under pressure.
• Knowledge of benefit programs such as SNAP, Medicaid, and SSI.
• Experience with interdisciplinary team collaboration and care plan development.
• Commitment to maintaining confidentiality and adhering to privacy regulations.