Overview • Deliver personalized care management services to enhance members' health and quality of life in a fully remote role. • Develop individualized care plans based on comprehensive assessments of members' needs and goals. • Coordinate access to healthcare services, community resources, and benefit programs to support members effectively. • Engage with members' families and support networks to foster positive care outcomes and satisfaction. • Utilize advanced health information systems to document services and ensure regulatory compliance. • Monitor adherence to care plans and provide follow-up support after critical health events. • Collaborate with interdisciplinary teams to deliver holistic and impactful care solutions. • Support members in navigating transitions between care levels and accessing necessary resources. Key Responsibilities & Duties • Conduct thorough assessments to identify members' medical, mental health, and social service needs. • Develop and manage caseloads, ensuring consistent and meaningful engagement with members. • Coordinate interdisciplinary teams to implement effective care plans and clinical recommendations. • Provide transitional care support, ensuring seamless transitions between care levels and services. • Identify and facilitate referrals to community and social support services for members. • Maintain accurate and timely documentation in electronic health records, adhering to privacy regulations. • Assist members in navigating benefit programs and addressing personal planning needs. • Report concerns related to abuse, neglect, or maltreatment promptly and effectively. Job Requirements • Associate of Applied Science (AAS) degree or higher in a relevant field. • Minimum of 1 year of relevant case management experience; preferred 2 years. • Proficiency in Microsoft Suite and health information technology systems. • Strong interpersonal, conflict-management, and communication skills. • Ability to prioritize tasks, analyze situations, and act effectively under pressure. • Knowledge of benefit programs such as SNAP, Medicaid, and SSI. • Experience with interdisciplinary team collaboration and care plan development. • Commitment to maintaining confidentiality and adhering to privacy regulations.