Case Manager I

A company is looking for a Case Manager I to support Enhanced Case Management initiatives and coordinate care for members.

Key Responsibilities

Review clinicals, claims, and case information to develop strategic care plans for members

Coordinate the implementation of care plans with members, clients, and vendor partners

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

Experience in Medicare, Medicaid, Case Management, or prescription drug benefits preferred

Experience in a clinical or social work position is a plus

Proficient with Microsoft Office Suite or related software