Job Description

We are seeking a compassionate, organized, and proactive Remote Case/Care Manager/Navigator to support patients and clients in navigating healthcare and community resources. This role focuses on coordinating care, removing barriers to services, improving patient outcomes, and ensuring individuals receive the right level of support at the right time. The ideal candidate has experience in care coordination, social services, case management, or a clinical/health-related field.

Key Responsibilities

Care Coordination & Case Management

• Conduct initial and ongoing assessments to identify patient needs, goals, barriers, and strengths.
• Develop individualized care plans and update them as needs evolve.
• Coordinate services across healthcare, community, and social service systems.
• Facilitate referrals to appropriate providers, programs, and resources.

Patient/Client Navigation

• Serve as the primary point of contact to help clients navigate medical, behavioral health, and social services.
• Educate individuals on available programs, insurance benefits, chronic disease management, and community assistance.
• Advocate on behalf of clients to ensure they receive timely and appropriate services.

Communication & Support

• Conduct regular outreach calls, follow-ups, and check-ins to monitor progress and address new needs.
• Provide coaching, motivational interviewing, and goal-setting support.
• Collaborate closely with interdisciplinary teams including clinicians, social workers, and community partners.

Documentation & Compliance

• Maintain accurate records within the electronic health record (EHR) or case management system.
• Ensure compliance with regulatory standards, organizational protocols, and privacy rules (HIPAA).
• Track metrics, outcomes, and service utilization for reporting and quality improvement.

Barriers Identification & Problem-Solving

• Help clients overcome social determinants of health challenges (housing, transportation, food insecurity, financial barriers, etc.).
• Assist with scheduling appointments, arranging transportation, and completing applications or paperwork.
• Identify crisis situations and escalate to the appropriate clinical or emergency resources.

Qualifications

Education & Experience

• Bachelor’s degree in Social Work, Nursing, Public Health, Human Services, Psychology, or related field (or equivalent experience).
• 1–3 years of experience in case management, care coordination, patient navigation, social services, or community health.
• Experience with high-need or vulnerable populations is a plus.

Skills & Competencies

• Strong understanding of healthcare systems, community resources, and social service programs.
• Excellent communication, active listening, and interpersonal skills.
• Ability to work independently, prioritize tasks, and manage a caseload effectively.
• Proficiency with EHR systems, case management platforms, and telehealth tools.
• Compassionate, patient-centered approach with cultural competency.

Preferred Qualifications

• Certification in Case Management (CCM, ACM, CHW, or related), or willingness to obtain.
• Experience working with Medicaid/Medicare populations, behavioral health, chronic disease, or social determinants of health challenges.
• Bilingual skills are highly desirable.

Work Environment

• 100% remote position with flexible scheduling options.
• Must have reliable high-speed internet and a private, HIPAA-compliant workspace.
• Occasional virtual trainings or meetings may be required.

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