Case Manager II
Location: Remote – Must reside in Virginia (Tidewater or Central regions)
Pay: $50/hour
Assignment Type: Temp-to-Perm
Start Date: As soon as available
Work Schedule: Monday – Friday, 8:00 AM – 5:00 PM EST (No weekends)
Tax Work Location: Remote
Benefits: Medical, dental, vision, and 401(k) with 50% employer contribution towards premiums
About the Organization
This opportunity is with one of the country’s most respected managed care organizations, serving Medicaid and Medicare members through high-quality, community-based programs. The company focuses on improving member outcomes through person-centered care coordination, behavioral health integration, and social support services. Employees are mission-driven and committed to delivering compassionate care with measurable impact across underserved populations.
Position Overview
The Case Manager II will serve members in Virginia’s Tidewater and Central regions, supporting individuals receiving Long Term Services and Supports (LTSS) under Medicaid. This position is remote but requires regular in-field visits to members' homes and nursing facilities to conduct face-to-face assessments. You will coordinate care plans tailored to the health needs and personal goals of members while collaborating with interdisciplinary teams to ensure comprehensive support.
Key Responsibilities
Complete clinical assessments of members within regulated timelines to determine care management eligibility
Develop and execute individualized care plans in collaboration with members, families, healthcare providers, and support networks
Conduct telephonic, face-to-face, or home visits as needed
Monitor and adjust care plans to reflect progress, interventions, and changing member needs
Maintain regular outreach and ongoing case load management
Coordinate integration of behavioral health and long-term care services for enhanced continuity
Support wellness programs, such as asthma or depression management initiatives
Facilitate interdisciplinary care team (ICT) meetings and informal team collaborations
Use motivational interviewing to engage, educate, and promote behavioral change
Identify and address barriers to care, connecting members to appropriate resources
Collaborate with RN case managers, supervisors, and peers to optimize support
Travel locally (30% or more) within the Tidewater and Central Virginia areas; mileage is reimbursed
Required Qualifications
Must reside in Virginia (Tidewater or Central region)
1–3 years of experience in case management, disease management, managed care, or in a medical or behavioral health setting
Valid driver’s license, reliable transportation, and good driving record
Strong computer and multitasking skills required (for system navigation, documentation, and member engagement)
Home office with high-speed internet connectivity
Required Education / Licensure
One of the following is required:
Completion of an accredited LVN or LPN program
Bachelor's or Master’s degree in social science, psychology, public health, gerontology, social work, or related field
Graduation from an accredited School of Nursing (BSN preferred)
If licensure is required, it must be active, unrestricted, and in good standing