Job Title: Case Manager
Job Description
The Case Manager is responsible for identifying complex cases based on enrollment criteria and managing a caseload of assigned members. The role requires performing routine follow-ups with patients, which may take place via phone, at the primary care provider’s office, in the patient's home, or other appropriate settings. The Case Manager will contact members after hospital discharge and ensure thorough documentation of interactions and outcomes within established timeframes.

Responsibilities

+ Identify complex cases based on enrollment criteria.

+ Monitor and manage assigned member caseloads.

+ Perform routine follow-ups with each patient in various settings.

+ Contact members post-hospital discharge and after transitional nurse visits.

+ Discuss program details with members and initiate the enrollment process.

+ Ensure documentation is thorough and completed within established ...