Job Details

THIS IS A HYBRID REMOTE CASE MANAGER ROLE WHERE CANDIDATES MUST RESIDE IN NOTHERN & CENTRAL VA (Tidewater, Nova, Chesapeake, Virigina Beach, or Norfolk area)

• Monday through Friday
• 8:00 AM - 5:00 PM EST

Case Manager will work in remote and field setting supporting our SMI (Severe Mental Illness) Medicaid Population with. Case Manager will participate in interdisciplinary care team meetings for our members and ensure they have care plans based on their concerns/health needs.

• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.

JOB REQUIREMENTS:

• Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related, Or Graduate from an Accredited School of Nursing. (Bachelor's Degree in Nursing preferred.)
• 3 years in case management, disease management, managed care in medical OR behavioral health settings
• 2 years of experience with LTSS (Long Term Services and Support)
• 2 years of experience with EHR (Emerging High Risk) and Medicaid Population
• Proficiency in Microsoft Office (Word, Outlook, Excel, and Teams)