Job Title: Remote Case Manager II – Medicaid Population
Job Type: Contract (1/27/2025 - 6/30/2025) - Extensions or temp-to-perm offered.
Pay: $50.00 per hour / Benefits Offered
Location: Remote with field visits in Virginia (Roanoke, Tidewater, Central VA areas)
Central Zip Code: 23220 (Richmond, VA - centrally located for Roanoke, Tidewater, and Central VA regions)
Travel: Up to 40% local travel, mileage reimbursed
Job Description
We are seeking a compassionate and detail-oriented Case Manager II to join our team remotely, supporting the Medicaid population in Virginia. This role involves working from home with field visits to members' homes for face-to-face assessments. You will collaborate with interdisciplinary care teams to develop care plans that address members’ health needs and concerns, ensuring access to quality care and services.
Key Responsibilities
- Conduct clinical assessments of members to determine eligibility for case management.
- Develop and implement personalized care plans in collaboration with members, caregivers, and healthcare providers.
- Perform telephonic, in-person, and home visits to support members' needs.
- Monitor care plans to evaluate effectiveness, document progress, and adjust interventions as needed.
- Provide care coordination, addressing barriers to care and ensuring integration of services (behavioral and long-term).
- Facilitate interdisciplinary care team (ICT) meetings and collaborate with healthcare professionals.
- Educate members using motivational interviewing techniques and guideposts to promote wellness.
- Maintain detailed and accurate documentation in case management systems.
- Collaborate with RN case managers/supervisors and provide resources and consultation to peers as needed.
Requirements
Education and Licensure:
- Bachelor’s or Master’s Degree in Social Science, Psychology, Gerontology, Public Health, Social Work, Nursing, or a related field.
- Graduate of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) program (preferred).
- Bachelor’s Degree in Nursing is preferred.
- Active, unrestricted license (if required for the position).
Experience:
- 1-3 years in case management, disease management, managed care, or medical/behavioral health settings.
Skills and Competencies:
- Excellent computer skills to navigate systems and multitask efficiently.
- Strong organizational skills and attention to detail.
- Ability to work in a fast-paced environment with high productivity expectations.
- Experience in behavioral health or social science fields is a plus.
Other Requirements:
- Valid driver’s license with a clean driving record.
- Reliable transportation for field visits.
- High-speed internet connectivity and a functional home office setup.
Schedule and Benefits
- Work Schedule: Monday through Friday, 8:00 AM to 5:00 PM (no weekends).
- Travel: Up to 40% local travel for member visits, with mileage reimbursement.