Case Manager

Managed Care organization seeking Care Managers to support Medicare and MLTC members. This is a great opportunity for an experienced RN or MSW with care management/case management experience who is bilingual and enjoys coordinating services and advocating for members.

To be considered for an interview, please make sure your application is full in line with the job specs as found below.

Hybrid Schedule:

• First 90 days: Tuesday–Thursday in office; Monday & Friday remote

• First week: Monday–Thursday in office

• Ongoing: 3 days in office / 2 days remote

• Hours: Monday–Friday, 9:00 AM–5:00 PM

Bilingual candidates needed in:

Chinese | Spanish | Bengali | Urdu | Gujarati

What you'll do:

• Serve as a primary point of contact for health plan members

• Conduct monthly member outreach and follow-up

• Coordinate care with members, families, and vendor agencies

• Review and support person-centered service plans

• Identify and address member needs

• Coordinate covered and non-covered services

• Maintain accurate and timely documentation

• Participate in weekly team meetings

Caseload:

• Medicare: approximately 100–120 members

• MLTC: approximately 130–150 members

Qualifications:

MSW or RN required

Case management/care management experience or strong xhyhwjd knowledge of case management

Experience with Medicare and/or MLTC populations preferred

Bilingual in one of the languages listed above

Strong communication, organization, and documentation skills

Comfortable managing a high-volume caseload

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