Case Manager, CCM

This is a fully remote position, open to applicants in Arizona, +15 more states.

📋 Description

• Facilitate coordination of care across inpatient, outpatient, emergency room, and home-care environments while upholding confidentiality and professional standards.

• Collaborate with members and providers to navigate intricate health issues and develop customized care plans.

• Evaluate and address Social Determinants of Health by linking members with community support services.

• Provide crisis intervention and advocate for members to eliminate obstacles to care and ensure treatment compliance.

• Interact with members via phone, secure messaging, or in-person to educate them about health conditions, hospital discharges, medical procedures, and medications.

• Adhere to relevant laws and regulations.

• Participate in initiatives for process enhancement and new pilot programs.

• Report directly to the Manager of Clinical Programs.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

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

• At least 2 years of experience working directly with patients suffering from chronic medical conditions such as diabetes, COPD, or hypertension.

• A minimum of 1 year of experience in Care Coordination and Navigation.

• Active, unrestricted RN licensure from the United States in [state], OR an active compact multistate unrestricted RN license, OR a Master of Social Work (MSW) from a nationally accredited school recognized by the Council on Social Work Education.

• Candidates must be residents of Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, or Virginia.

• Bonus: Bachelor of Science in Nursing (BSN).

• Bonus: Licensed Master Social Worker or Licensed Clinical Social Worker.

• Bonus: CCM Certification.

• Bonus: Experience in Case Management.

• Bonus: Certification in Complex Case Management.

• Bonus: Bilingual skills (Spanish).

🏝️ Benefits

• Monthly vacation accrual at a rate of 15 days per year.

• Medical, dental, and vision insurance.

• 11 paid holidays.

• Paid sick leave.

• Paid parental leave.

• Participation in a 401(k) plan.

• Life and disability insurance.

• Paid wellness time and reimbursements.

• Occasional travel for team meetings and company events.