Description

We are seeking a compassionate and experienced Case Manager to provide high-quality case management services to beneficiaries. In this role, you will screen, assess, and develop individualized care plans while ensuring compliance with state-specific licensure requirements and organizational policies. Your expertise will help beneficiaries navigate their healthcare journey, access essential resources, and achieve positive health outcomes.

Compensation and Benefits

• Competitive pay based on experience and state of residence
• Contract-to-hire employment type

Why you should apply for this position today

This is an exciting opportunity to advance your career in case management while making a meaningful impact on patient care. Join a team committed to improving healthcare delivery and be part of a rewarding journey.

Skills

• Strong knowledge of case management principles, HIPAA regulations, URAC standards, and medical coding
• Ability to analyze complex situations and develop effective care strategies
• Excellent verbal and written communication skills, adaptable to diverse audiences
• Ability to manage multiple priorities in a fast-paced environment while maintaining attention to detail
• Strong teamwork skills, with the ability to inspire collaboration and improve patient outcomes

Responsibilities

• Conduct screenings and assessments to determine eligibility for case management services
• Develop and implement personalized care plans based on individual needs, goals, and outcomes
• Monitor and adjust care plans to ensure continued effectiveness
• Advocate for beneficiaries by ensuring access to necessary healthcare services and resources
• Provide guidance on available community programs and support networks
• Process and review authorization and referral requests while maintaining compliance with policies
• Maintain accurate documentation within the medical management system
• Collaborate with healthcare providers and internal teams to ensure alignment of care plans
• Offer oversight and guidance to non-clinical staff to support operational objectives
• Demonstrate professionalism, reliability, and clear communication in all interactions

Qualifications

• Current, unrestricted state license as a Licensed Clinical Social Worker (LCSW)
• Minimum of two years of direct clinical care experience
• Ability to obtain a URAC-recognized case management certification within four years of hire
• U.S. citizenship and ability to pass a Department of Defense (DOD) background investigation

Education Requirements

• Current, unrestricted state license as a Licensed Clinical Social Worker (LCSW)

Education Requirements Credential Category

• Licensed Clinical Social Worker (LCSW)

Experience Requirements

• Minimum of two years of direct clinical care experience
• At least two years of case management experience is preferred

Why work in Honolulu, HI

Honolulu offers a unique blend of beautiful landscapes, rich cultural experiences, and a vibrant community atmosphere. Living in this paradise allows for a balanced lifestyle, with access to stunning beaches, outdoor activities, and a diverse culinary scene. The warm climate fosters a welcoming work environment, making it an attractive place for personal and professional growth.