Case Manager

3 weeks ago

Virginia, United States MedNational Staffing Full time
*Schedule:* *Hybrid REMOTE, *M-F, 8am-5pm EST

*Summary:* Responsible for health care management and coordination of healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors members progress and services to ensure consistent cost-effective care that complies with policy and all state and federal regulations and guidelines.

*Must Have Skills:*
* Must have a valid driver’s license and reliable vehicle for field visits
* Must have Mental health/SMI experience and anyone with LTSS experience and conducting LOCERI assessments, if possible. NOVA, Central, and Roanoke areas.
* Excellent communication skills, with an ability to communicate effectively with members with chronic conditions, developmental disabilities, etc.
* Strong technical skills (utilizing multiple programs at the same time) along with competency in Microsoft applications (Outlook, Teams, Excel, etc.)
* Strong organizational and interpersonal skills

*Day to Day Responsibilities: *Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. This will include potential home visits to complete assessments as well as completion of telephonic assessments, completion of integrated care plans, and conducting interdisciplinary care team meetings. In addition, conducting needed telephonic follow-up, education, and care coordination for assigned members.

*Required Years of Experience: *One year of experience working directly with individuals who meet the Cardinal Care Priority Population (Medicaid) criteria.
*Required Licensure / Education: *Must have Bachelor’s degree in a health or human services field, LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW

Job Types: Full-time, Contract

Benefits:
* Dental insurance
* Health insurance
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
Work setting:
* Remote

Application Question(s):
* Must reside in VA
* Must have Bachelors degree in a health or human services field, LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW
* Some traveling is required
* Must reside in South West region or Charlotteville region with Mental Health/SMI experience and anyone with LTSS experience and conducting LOCERI assessments, if possible. NOVA, Central, and Roanoke areas

Education:
* Bachelor's (Required)

Experience:
* Medicaid: 1 year (Required)

License/Certification:
* LPN License (Preferred)

Location:
* Virginia (Required)

Work Location: Remote

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