Case Manager

General Knowledge/Skills 

• Must: Critical thinking and problem-solving skills. 

• Preferred: Clinical knowledge of chronic conditions, management of high-risk patient populations and knowledge of available community resources. 

• Strong knowledge of managed care concepts.  

• Strong written and verbal skills with patients, physicians and other stakeholders including techniques in facilitating patient engagement in their healthcare. 

• Demonstrate ability to timely assess and respond to patient and family needs. 

• General knowledge of care (case) management practices, including familiarity with Medicare Advantage products, programs, and services. 

• Experience in establishing professional and collaborative relationships with patients, providers, and insurance organizations. 

• Basic computer skills, including working knowledge of the Microsoft Office suite. 

• Not required, but preferred: Certification as a diabetes educator, nutritionist or social worker or other specialty. 

Minimum Required Education, Experience & Skills  

• Current Nursing License within the state in which you work or Compact License, RN preferred, may consider LPN with Managed Care experience outside of clinical setting.  

• Minimum two years clinical practice, one (1) year care (case) management experience or will work towards and maintain a Care (Case) Management Certification. 

• Continuing education in Care (Case) Management and all other applicable professional licensure.  

• CPR/BLS certification. 

ENVIRONMENTAL AND WORKING CONDITIONS  

In this position, the employee will work in an office setting that requires sitting, walking, talking, and listening. Position will require a valid driver’s license and will travel approximately 30% of the time.  

Physical & Mental Requirements: (check all that apply)  

☐ Required immunizations and vaccinations. 

• Ability to lift to 50 pounds.  

• Ability to push or pull heavy objects using up to 100 pounds of force.  

• Ability to stand or sit for extended periods of time.  

• Ability to use fine motor skills to operate equipment and/or machinery.  

• Ability to properly drive and operate a vehicle.  

• Ability to receive and comprehend instructions verbally and/or in writing.  

• Ability to use logical reasoning for simple and complex problem solving. 

• Occasionally requires exposure to communicable diseases or bodily fluids. 

• Occasional travel for clinic activities may be required (ex. InnovaCare meetings or training). 

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.