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.