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1 Vacancy
Case Manager II EHR Team (Emerging High Risk)
Location: Remote Must reside in Virginia (Tidewater Central or Southwest region)
Pay: $50/hour
Assignment Type: Contract Duration: May 12 2025 June 30 2025
Work Schedule: Monday Friday 8:00 AM 5:00 PM EST (No weekends)
Tax Work Location: Remote
ZIP Code: 23803 (central to Tidewater Central and Southwest VA regions)
Benefits: Medical dental vision and 401(k) with 50 employer contribution towards premiums
About the Organization
This position is with a missiondriven managed care organization that specializes in Medicaid and Medicare services for underserved populations. Known for its communitybased model of care the organization focuses on empowering members to live healthier more independent lives. Employees are part of a collaborative environment that values innovation equity and measurable health outcomes.
Position Overview
The Case Manager II will work on the Emerging High Risk (EHR) team supporting Medicaid members across Virginia. This position is remote with regular fieldwork to complete facetoface assessments in members homes. You will help build care plans tailored to members clinical and social needs while working alongside an interdisciplinary team to ensure coordination of care and ongoing member engagement.
Key Responsibilities
Complete timely clinical assessments to determine case management eligibility
Create and execute individualized case management plans with input from the member their caregivers physicians and support network
Conduct telephonic and inhome visits as needed adhering to regulatory timelines
Monitor care plans and document changes interventions and member progress
Maintain an active case load and conduct regular outreach to assigned members
Promote integration of services including behavioral health and longterm support programs
Participate in or facilitate interdisciplinary care team (ICT) meetings
Utilize motivational interviewing techniques to support behavioral change
Address barriers to care and connect members to needed services and supports
Travel locally 30 or more) across assigned territory (Tidewater Central and Southwest VA); mileage is reimbursed
Required Qualifications
Must reside in Virginia within the Tidewater Central or Southwest region
13 years of experience in case management disease management managed care or in a medical/behavioral health setting
Strong computer and documentation skills are essential for managing systems and maintaining accuracy
Home office setup with highspeed internet is required
Valid drivers license clean driving record and reliable transportation
Required Education / Licensure
One of the following:
Completion of an accredited LVN or LPN program
Bachelors or Masters degree in a relevant field (social work psychology gerontology public health or social science)
Graduate of an accredited School of Nursing (BSN preferred)
Licensure (if required) must be active unrestricted and in good standing
Required Experience:
Manager
Hourly