Job Title: Remote Case Manager II – Medicaid Population (Local Travel)

Job Type: Contract (1/27/2025 - 6/30/2025) - Extensions or temp-to-perm offered.Pay: $50.00 per hour / Benefits Offered

Location: Remote with field visits in Virginia (Roanoke, Tidewater, Central VA areas)Central Zip Code: 23220 (Richmond, VA - centrally located for Roanoke, Tidewater, and Central VA regions)Travel: Up to 40% local travel, mileage reimbursed

Job Description

We are seeking a compassionate and detail-oriented Case Manager II to join our team remotely, supporting the Medicaid population in Virginia. This role involves working from home with field visits to members' homes for face-to-face assessments. You will collaborate with interdisciplinary care teams to develop care plans that address members’ health needs and concerns, ensuring access to quality care and services.

Key Responsibilities

• Conduct clinical assessments of members to determine eligibility for case management.
• Develop and implement personalized care plans in collaboration with members, caregivers, and healthcare providers.
• Perform telephonic, in-person, and home visits to support members' needs.
• Monitor care plans to evaluate effectiveness, document progress, and adjust interventions as needed.
• Provide care coordination, addressing barriers to care and ensuring integration of services (behavioral and long-term).
• Facilitate interdisciplinary care team (ICT) meetings and collaborate with healthcare professionals.
• Educate members using motivational interviewing techniques and guideposts to promote wellness.
• Maintain detailed and accurate documentation in case management systems.
• Collaborate with RN case managers/supervisors and provide resources and consultation to peers as needed.

Requirements

Education and Licensure:

• Bachelor’s or Master’s Degree in Social Science, Psychology, Gerontology, Public Health, Social Work, Nursing, or a related field.
• Graduate of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) program (preferred).
• Bachelor’s Degree in Nursing is preferred.
• Active, unrestricted license (if required for the position).

Experience:

• 1-3 years in case management, disease management, managed care, or medical/behavioral health settings.

Skills and Competencies:

• Excellent computer skills to navigate systems and multitask efficiently.
• Strong organizational skills and attention to detail.
• Ability to work in a fast-paced environment with high productivity expectations.
• Experience in behavioral health or social science fields is a plus.

Other Requirements:

• Valid driver’s license with a clean driving record.
• Reliable transportation for field visits.
• High-speed internet connectivity and a functional home office setup.

Schedule and Benefits

• Work Schedule: Monday through Friday, 8:00 AM to 5:00 PM (no weekends).
• Travel: Up to 40% local travel for member visits, with mileage reimbursement.