Case Manager I

A company is looking for a Case Manager I to support the Enhanced Care Advocate and ECM team in managing member health scenarios.

Key Responsibilities

Review clinicals and claims to develop and implement strategic care plans for members

Coordinate with members, clients, and vendor partners to facilitate care plans

Document casework impacts and maintain relationships with prescription drug vendors

Required Qualifications

Bachelor's degree or equivalent work experience required

2 years of experience with Group Health Insurance and Self-Funded Health Plans required

Medicare, Medicaid, Case Management, and prescription drug benefit experience preferred

Experience in a clinical or social work position is a plus

Life and Health Insurance Producers License is preferred, but not required