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 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.
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.
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 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
Required Qualifications
Must reside in Virginia within the Tidewater, Central, or Southwest region
1–3 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 high-speed internet is required
Valid driver’s license, clean driving record, and reliable transportation
Required Education / Licensure
One of the following:
Completion of an accredited LVN or LPN program
Bachelor’s or Master’s 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