Job Summary

A nonprofit is seeking a Telecommuting Medical Case Manager.

Individual must be able to fulfill the following responsibilities:

• Communicate effectively while performing customer telephonic interviewing and communication with external contacts
• Develop an individualized plan of care designed to meet the specific needs of each member
• Maintain knowledge of Medical Terminology and Medical Diagnostic Categories/Disease States

Qualifications Include:

• Bachelor's degree in nursing or RN certification or Master's degree in Social Work and 3 years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR
• Bachelor's degree in Social Work with five years experience in Acute or Managed Care/ experience with Medicaid or Medicare populations
• Attend internal and external continuing education forums annually to enhance overall clinical skills and maintain professional licensure