Case Manager-Remote

Hello! This is Priyanka from Collabera.

Looking for your next career opportunity? Please take a moment to review the job description and let me know if you're interested.

You can connect with me on LinkedIn: https://www.linkedin.com/in/dave2008/

You can also reach me directly:
Call/Text: +1 973-828-2930
Email: [email protected]

Feel free to reach out through whichever option is most convenient for you. Looking forward to connecting!

Job Description: 
Title: Case Manager I
Client Industry: Healthcare
Pay Rate: $35-$38/hr.
Duration: 6 Months
Location: Remote. Candidates must reside in one of the following ZIP codes:
60076, 60077, 60203, 60616, 60176, 60016, 60017, 60018, 60019, 60056
Work Arrangement: Fully Remote with 25% to 40% estimated local travel for member visits and other job-related activities.
Primary Responsibilities:
• Conduct comprehensive member assessments within required timelines, including in-person home visits when necessary.
• Coordinate waiver enrollment and disenrollment processes.
• Develop and implement individualized care plans in collaboration with members and their caregivers and healthcare providers.
• Monitor care plans to evaluate progress and document interventions and outcomes.
• Coordinate behavioural health services and long-term services and supports (LTSS) along with community resources.
• Assess medical necessity and authorize appropriate waiver services.
• Review covered benefits and guide members regarding available funding sources.
• Facilitate interdisciplinary care team meetings to review and approve or deny services.
• Use motivational interviewing techniques to educate and support members in achieving their health goals.
• Identify barriers to care and help members address medical, financial, and psychosocial challenges.
• Identify critical incidents and develop prevention plans to support member health and safety.
• Collaborate with licensed care managers and leadership as needed.
Required Qualifications:
• At least 2 years of healthcare experience.
• At least 1 year of experience working with individuals with disabilities or chronic conditions in long-term services and supports (LTSS).
• At least 1 year of experience in care management or experience in a medical or behavioural health setting or an equivalent combination of relevant education and experience.
• Valid and unrestricted driver's license with reliable transportation and adequate auto insurance for job-related travel.
• Knowledge of community resources.
• Ability to work independently with minimal supervision.
• Strong attention to detail and ability to work proactively.
• Ability to work with diverse populations and adapt to different situations.
• Strong verbal and written communication skills.
• Excellent problem-solving and critical thinking abilities.
• Strong time management and organizational skills with the ability to manage multiple priorities.
• Ability to remain calm and responsive in high-pressure situations.
• Proficiency in Office and the ability to navigate online portals and databases.
Other Important Details:
• The role involves coordinating care for members with complex healthcare needs.
• Candidates must be comfortable conducting local home visits and working across different care settings.
• The position requires collaboration with members, caregivers, and healthcare professionals to support quality and cost-effective care.

The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, dental insurance, vision insurance, 401(k) retirement plan, life insurance, long-term disability insurance, short-term disability insurance, paid parking/public transportation, paid time off, paid sick and safe time, hours of paid vacation time, weeks of paid parental leave, and paid holidays annually - as applicable.