Integrated Care Case Manager

About the role

Manage a portion of the active ProHealth caseload in coordination with the existing case manager, medical assistant, and providers. Track provider-ordered follow-up needs, including lab work, x-rays, imaging, specialty referrals, and requested outside records. Monitor upcoming provider appointments to confirm whether required follow-up tasks have been completed before the visit. Provide outreach to clients who have pending follow-up needs, missed appointments, or repeated barriers to engagement. Coordinate transportation, appointment reminders, scheduling support, and resource connection to reduce DNA/no-show rates. Communicate referral status, outstanding follow-up needs, and client barriers to providers and care team members. Support clients in navigating insurance, benefits, community resources, social services, and external medical systems. Assist with transitions of care after hospitalization, emergency department use, crisis episodes, or higher levels of care. Maintain timely documentation of case management interventions, follow-up status, care coordination activities, and client progress. Participate in team huddles, care coordination meetings, and case consultation to support shared planning and accountability.

Requirements

• Experience in behavioral health, community mental health, integrated care, care coordination, case management, or human services.
• Ability to manage a complex caseload and track multiple follow-up needs across providers and external systems.
• Strong communication, organization, documentation, and problem-solving skills.
• Knowledge of social determinants of health, community resources, benefits, transportation supports, and healthcare navigation.
• Ability to collaborate effectively with providers, medical assistants, care coordinators, clinicians, external partners, and clients.
• Commitment to trauma-informed, person-centered, culturally responsive, and recovery-oriented care.
• Experience in the community mental health field, with two or more years preferred in an integrated primary and behavioral health care setting, or an equivalent combination of skills and experience.

Qualifications

• Bachelor’s degree in social work, psychology, counseling psychology, or related clinical field is required.

Skills

Experience in behavioral health, community mental health, integrated care, care coordination, case management, or human services. Ability to manage a complex caseload and track multiple follow-up needs across providers and external systems. Strong communication, organization, documentation, and problem-solving skills. Knowledge of social determinants of health, community resources, benefits, transportation supports, and healthcare navigation. Ability to collaborate effectively with providers, medical assistants, care coordinators, clinicians, external partners, and clients. Commitment to trauma-informed, person-centered, culturally responsive, and recovery-oriented care.

Benefits

• Health Insurance
• Dental coverage
• Vision Coverage
• Personal Time Off (PTO)
• Extended Illness Leave (EIL)
• 7 Paid Holidays
• 403(b) Retirement Plan
• Tuition Assistance
• Short- and Long-term Disability
• Life Insurance
• Flexible Spending Accounts (FSAs) for Medical and Dependent Care
• Flexible Work Options
• Performance Bonuses
• Employee Assistance Program (EAP)
• Company Discounts
• Employee Recognition Events
• Competitive Salaries
• Supervision towards Clinical Licensure
• Qualifying Employer for the Public Service Loan Forgiveness Program and NH State Loan Repayment Program

Pay

$27.69-$33.92

Schedule

Full-time, 40 hours per week