Case Manager II – EHR Team (Emerging High Risk) - REMOTE - $50/hr

This position is with a mission-driven managed care organization that specializes in Medicaid and Medicare services for underserved populations. Known for its community-based 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.

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 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 face-to-face 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.

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 in-home 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 long-term 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