Case Manager

Care Manager (Remote) | Medicaid Care Coordination Role Hiring through Medix Staffing Location: Fully Remote (U.S.-Based) Schedule: Monday–Friday, 9:00 AM–5:30 PM EST Pay: $21–$24/hour Employment Type: Full-Time Contract (Long-Term / Indefinite) Start Date: July 20, 2026 About the Role Medix is partnering with a growing healthcare organization supporting Medicaid members across New York State. The focus is improving health outcomes by addressing health-related social needs (HRSNs) and connecting members to essential community resources. This role is ideal for candidates with experience in Care Management, Case Management, Health Homes, Community Health, Social Services, Behavioral Health, or Medicaid Managed Care who are passionate about supporting underserved populations. As a Care Manager, you will conduct telephonic outreach, assess social needs, coordinate referrals, build care plans, and ensure members successfully access services through a closed-loop care model. You will help address social determinants of health (SDOH) including housing, food insecurity, transportation, utilities, and healthcare access. This is a fast-paced, outreach-heavy role requiring strong communication, organization, critical thinking, and adaptability. Core Responsibilities Member Outreach & Assessment Conduct outbound calls to Medicaid members Complete comprehensive SDOH/HRSN assessments Identify unmet needs and barriers to care Build rapport with members and caregivers Prioritize members based on acuity and risk Care Planning & Coordination Develop individualized care plans Coordinate with providers, CBOs, and social service agencies Support navigation of healthcare and community resources Address barriers to service access Closed-Loop Referral Management Initiate, track, and manage referrals through completion Confirm service delivery and outcomes Follow up with members and partners Escalate unresolved or delayed referrals Engagement, Education & Documentation Educate members on available resources Use motivational interviewing and culturally competent communication Maintain accurate, timely documentation in care systems Track outreach, referrals, and engagement metrics Ensure HIPAA compliance Collaboration Work with interdisciplinary teams and community partners Participate in case reviews and team meetings Support quality improvement initiatives Required Qualifications 1+ year experience in Care Management, Case Management, Health Home, Community Health, Social Services, Behavioral Health, or related field Experience working with Medicaid populations Strong outbound phone outreach experience Strong communication, organization, and multitasking skills Ability to work independently in a fast-paced environment Comfortable with technology and learning new systems Preferred Qualifications Health Home Care Management experience strongly preferred Experience with SDOH/HRSN interventions Medicaid Managed Care experience Community-based organization experience Behavioral health background Experience with EHRs or care management platforms Motivational interviewing experience Bilingual (Spanish preferred) Remote Work Requirements Reliable high-speed internet with active Ethernet connection Quiet, private workspace during working hours Ability to complete internet speed test during hiring process Equipment Requirements Personal laptop required (no Chromebooks or tablets) Must support Microsoft Teams, multiple browsers, and care management systems Dual monitors and USB headset preferred Dedicated home office preferred Company equipment may be provided in the future but is not guaranteed What Success Looks Like Consistent, high-volume member outreach Strong engagement and trust-building with members Accurate, timely documentation Effective referral completion and follow-through Ability to adapt in an evolving program environment Commitment to improving outcomes for underserved populations Why This Role Fully remote, U.S.-based opportunity Mission-driven healthcare impact Direct support for housing, food, transportation, and healthcare access needs Exposure to an innovative closed-loop care model Long-term contract with potential for extension or conversion based on performance Program Note This role supports Social Care Networks (SCNs) and Community-Based Organizations (CBOs) across New York State. Processes, systems, and workflows may evolve based on program requirements and state guidelines. Flexibility and adaptability are essential for success.