Case Manager I

Job Summary

Case Manager I is a full-time position focused on supporting the Enhanced Care Advocate and ECM team through case evaluations, referrals, and member communication, while working remotely.

Key Responsibilities

• Review clinicals and develop care plans for members with various health scenarios
• Coordinate care plan implementation with members, clients, and specialized vendor partners
• Document casework impacts on cost savings and member health outcomes

Required Qualifications

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