Case Manager (Registered Nurse [RN] or Licensed Master Social Worker [LMSW])

Job description

As a Case Manager , you will support Idaho Medicaid participants through complex medical case management, patient navigation, and care coordination. The role focuses on developing individualized care plans that promote wellness, improve health outcomes, and reduce reliance on emergency services and inpatient care. The Case Manager engages with members primarily by phone and email, while collaborating closely with healthcare providers, community resources, and interdisciplinary teams. This position supports diverse patient populations and plays a key role in helping members understand and access available benefits, services, and medically necessary care. Core business hours are Monday through Friday, 9:00 a.m. to 5:30 p.m. Mountain Time, with flexibility required to meet member needs, including occasional non-business hours. What you'll do: - Performs assessments and evaluations of potential care management patients in accordance with client contractual obligations and/or state requirements. - Collaborates with healthcare providers and ancillary service providers to validate appropriate treatment plans and identify patient education opportunities. - Assessment and education activiti...