Case Manager I

Job Summary

A company is looking for a Case Manager I to support the Enhanced Care Advocate and ECM team in case evaluation and member communication.

Key Responsibilities

• Review clinicals, claims, and baseline case information for various health scenarios
• Develop and implement strategic care plans by coordinating with members and specialized vendor partners
• Document casework impacts and facilitate communication between clients, members, and internal departments

Required Qualifications

• Bachelor's degree or equivalent work experience required
• 2 years of experience with Group Health Insurance and Self-Funded Health Plans required
• Medicare, Medicaid, Case Management, and prescription drug benefit experience preferred
• Experience in a clinical or social work position is a plus
• Proficient with Microsoft Office Suite or related software