Healthcare Case Manager

Case Manager Opportunity

Make a meaningful impact on members' health outcomes while working remotely in a collaborative, patient-centered environment. This Case Manager opportunity offers the chance to apply your clinical expertise to coordinate care, remove barriers, and drive better health and cost outcomes for a diverse population.

Location: Remote (must reside in NC or SC) Pay Rate: $4043/hr Employment Type: Contingent Start Date: Immediate

Why This Role Matters In this role, you'll serve as a vital link between members, providers, and resourcesensuring coordinated, efficient, and high-quality care across the continuum while improving clinical outcomes and cost effectiveness.

What You'll Do

• Serve as a key member of a multidisciplinary team, coordinating care, resources, and services for members
• Conduct comprehensive assessments and collaborate with members, families, and providers on care plans and interventions
• Develop and manage individualized, member-centric care plans, addressing barriers and support needs
• Utilize community resources and funding sources to enhance care delivery
• Monitor member progress, adjust care plans as needed, and maintain appropriate follow-up based on acuity
• Facilitate care across the continuum (e.g., physician offices, hospitals, rehab, SNF, home care)
• Educate members to encourage proactive health management and improved outcomes
• Document all aspects of care management, from assessment through outcome evaluation
• Identify and outreach to high-risk or high-utilization members as needed
• Review alternative treatment plans, benefits, and medical necessity of services
• Support development of policies, procedures, and training when needed

What We're Looking For

• A current, up-to-date resume
• RN, RD, or LCSW with 3+ years of clinical and/or case management experience (or MSW with 5+ years in some cases)
• Active, valid clinical license (NC or compact state)
• Strong care coordination, assessment, and clinical decision-making skills
• Experience working with multidisciplinary teams and community resources
• Knowledge of utilization management and medical necessity criteria
• Excellent documentation and communication skills
• Ability to manage multiple cases and adapt to changing priorities
• Ability to meet compliance requirements

What's In it For You

• Fully remote work environment with consistent weekday schedule (MF)
• Competitive hourly pay
• Opportunity to work with a leading healthcare payer
• Meaningful patient impact through care coordination and advocacy
• Professional growth in case management and population health

Benefits for Manpower Associates (Upon Eligibility) Upon completion of waiting period associates are eligible for:

• Medical and Prescription Drug Plans
• Dental Plan
• Supplemental Life Insurance
• Short Term Disability Insurance
• 401(k)