California Licensed Case Manager

Job Summary

To enhance member experience in a remote setting, the full-time California Licensed Case Manager will research and respond to member grievances and appeals while ensuring compliance with regulatory requirements.

Key responsibilities

• Research and respond to member grievances and appeals
• Meet regulatory requirements related to case management
• Improve overall member experience through effective case handling

Required qualifications

• High School Diploma or equivalent required; Bachelor's Degree preferred
• Minimum of 2 years of experience in case management, grievances, or appeals
• 2 years of experience in healthcare, health insurance, or managed care
• Experience with documentation, data entry, and records management (2 years)
• Strong organizational and time management skills