Case Management Coordinator- Adult Care

Key Responsibilities

• Provide telephonic case management services to members.
• Assess member needs and coordinate appropriate care plans.
• Communicate effectively with patients, providers, caregivers, and internal teams.
• Support continuity of care and assist with navigating healthcare services.
• Document case activities accurately and maintain quality standards.
• Collaborate with multidisciplinary teams to support member outcomes.
• Adapt to evolving case management workflows, policies, and operational changes.
• Maintain productivity, compliance, and confidentiality standards in a remote setting.

Required Qualifications

• Active Registered Nurse (RN) license (if applicable to candidate background).
• Minimum 4+ years of recent clinical experience required for Registered Nurse candidates.
• Experience in adult patient care is strongly preferred and should be recent.
• Experience in healthcare operations, case management, care coordination, utilization management, or related clinical functions.
• Ability to work independently in a remote environment while maintaining performance expectations.

Preferred / Nice-to-Have Qualifications

• Recent adult care clinical experience.
• Previous telephonic case management experience.
• Experience coordinating care across providers and patient support networks.
• Strong documentation and clinical assessment capabilities.