Case Manager
Core
Collaborate across teams to deliver high-quality care, improve member health outcomes, and connect individuals with community resources.
Role type
Senior IC case manager (clinical care coordination)
Builds
Personalized care plans and community support connections for members with chronic conditions
Domain
Health insurance / Clinical care management
Required skills
Care coordination, Social Determinants of Health (SDOH) assessment, crisis intervention, chronic disease management, care navigation, member education, regulatory compliance
Preferred skills
BSN, Licensed Master Social Worker (LMSW), Licensed Clinical Social Worker (LCSW), Certified Case Manager (CCM), Complex Case Management certification, Spanish language proficiency
Technologies
Secure messaging platforms, telehealth tools
Responsibilities
Coordinate care across inpatient, outpatient, ER, and home care settings; Partner with members and providers to navigate complex health challenges; Assess and address SDOH by connecting members with tailored community support resources; Provide crisis intervention support and act as a dedicated member advocate; Engage directly with members via phone, secure messaging, or in-person to provide education on health conditions and procedures
Seniority
Mid-level, hands-on IC