As a Care Manager you will be a trusted guide for patients and families navigating complex health journeys. This role blends your clinical expertise with a holistic approach to care addressing medical behavioral and social needs. Youll work remotely but your impact will be deeply personal helping members achieve wellness and autonomy through education support and compassionate coordination
What Youll Be Doing
Build meaningful relationships with patients and families understanding their goals barriers and motivators.
Creating personalized care plans that go beyond diagnoses addressing social determinants emotional well-being and behavioral health when applicable.
Coordinate care across providers and settings ensuring safety quality and continuity.
Educate and empower members to make informed decisions and navigate the healthcare system confidently.
Identifying and coordinating access to community-based resources and services and ensuring implementation for the member.
Collaborate with an interdisciplinary team (inpatient outpatient home health etc.) sharing insights and advocating for whole-person health.
Use data as a tool for insightnot the driver of careto identify opportunities and measure impact while keeping the patient at the center.
Maintain compliance with regulatory standards while prioritizing compassion and connection.
Qualifications :
Qualifications What Youll Need to Have
Masters degree in social work (MSW)
Minimum of five (5) years of clinical experience across diverse healthcare settings including medical and behavioral health.
Strong background in care management as well as complex and chronic condition management both inpatient and outpatient.
Skilled in motivational interviewing patient education and patient advocacy.
Ability to work independently in a remote environment while staying connected to the team.
Comfort with technology and multiple EMR systems.
Possession of software knowledge including word processing and spreadsheets computer skills including MS Word Excel Access PDF Outlook etc.
What Wed Love for You to Have
LCSW LCSW LCPC or LCP
Perinatal Mental Health Certification (PHM-C)
Specialty Certification in Care Management (CCM or ACM)
Previous remote and/or telephonic work experience
Knowledge of utilization review quality improvement managed care and/or community health
Additional Information :
All your information will be kept confidential according to EEO guidelines.
ALIVE with Purpose: How We Thrive at Guidehealth
At Guidehealth our values come to life in everything we do.
BENEFITS:
While you are hard at work advancing value-based healthcare we are here to ensure YOU have the care you and your family need and the opportunities for growth and development. Our commitments to you include:
All full-time employees of Guidehealth who work 30 hours per week or more are eligible for our comprehensive benefits package. Temporary employees and contractors are not eligible for benefits.
COMPENSATION:
The listed compensation range listed is paid bi-weekly per our standard payroll practices. Final base pay decisions are dependent upon a variety of factors which may include but are not limited to: skill set years of relevant experience education location and licensure/certifications.
OUR COMMITMENT TO EQUAL OPPORTUNITY EMPLOYMENT
Diversity inclusion and belonging are at the core of Guidehealths values. We are an equal opportunity employer. We enthusiastically accept our responsibility to make employment decisions without regard to race religious creed color age sex sexual orientation and identity national origin citizenship religion marital status familial status physical sensory or medical disability Family and Medical Leave military or veteran status pregnancy childbirth or other related medical conditions or any other classification protected by federal state and local laws and ordinances. Our management is fully dedicated to ensuring the fulfillment of this policy with respect to hiring placement promotion transfer demotion layoff termination recruitment advertising pay and other forms of compensation training and general treatment during employment.
OUR COMITTMENT TO PROTECTION OF PATIENT AND COMPANY DATA
This position is responsible for following all Security policies and procedures in order to protect all PHI and PII under Guidehealths custodianship as well as Guidehealth Intellectual Properties. For any security-specific roles the responsibilities would be further defined by the hiring manager.
As a remote-first organization handling sensitive healthcare data Guidehealth verifies candidate identity at multiple stages of the hiring and onboarding to safeguard patient privacy data security and compliance requirements.
REMOTE WORK TECHNICAL REQUIREMENTS
Guidehealth is a fully remote company. We provide new employees with the necessary equipment to function in their role at no charge to the employee. Employees provide their own internet connection capable of conducting video calls on camera and connecting to various internal and external systems. The required internet speed is a minimum of 100 mbps download 10 mbps upload. Please run a speed test here to confirm your internet connection meets these requirements.
Remote Work :
Yes
Employment Type :
Full-time
WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of practicing medicine for providers. Driven by em ... View more