Overview • Provide comprehensive case management services addressing medical, social, psychological, physical, and spiritual needs of members. • Collaborate with primary care providers, caregivers, and interdisciplinary teams to develop and monitor care plans. • Work in a hybrid environment with initial training in-office and transition to remote work. • Opportunity to work with diverse populations, including bilingual Mandarin/Cantonese members. • Contribute to a mission-driven organization focused on member well-being and care quality. • Engage in monthly in-office meetings to enhance collaboration and professional development. • Access to professional growth opportunities and potential sign-on bonuses for qualified candidates. • Utilize advanced case management tools and processes to ensure compliance and efficiency. Key Responsibilities & Duties • Develop, implement, and monitor individualized care plans in collaboration with interdisciplinary teams. • Provide case management services to members, addressing their comprehensive needs. • Ensure compliance with federal and state managed care regulations and guidelines. • Utilize InterQual and local Medicare coverage guidelines for effective case management. • Maintain accurate documentation using Windows-based tools, Word, and Excel. • Participate in monthly in-office meetings to foster collaboration and professional growth. • Support bilingual members, particularly Mandarin/Cantonese speakers, with tailored services. • Collaborate with supervisors and team members to enhance care management processes. Job Requirements • Master of Social Work degree required; LMSW or LCSW preferred for additional benefits. • Minimum of 2 years of experience in case management or related field. • Proficiency in Windows-based tools, Word, and Excel for documentation and reporting. • Knowledge of federal and state managed care regulations and utilization management processes. • Experience with InterQual and Medicare coverage guidelines preferred. • Strong written and verbal communication skills essential for effective case management. • Ability to work remotely with occasional in-office meetings and training sessions. • Bilingual proficiency in Mandarin or Cantonese highly desirable.