Case Manager (RN) – Field & Telephonic

Location: Fort Worth, Arlington, Edgecliff Village, Richland Hills, Kennedale and Forest Hill, TX (Remote with local travel)

Travel: Up to 75% within territory

Position Summary

In this role, you will deliver high-quality case management services through a combination of telephonic and face-to-face engagement, helping members navigate their healthcare needs and achieve improved health outcomes.

Key Responsibilities

• Conduct comprehensive telephonic and in-person assessments to evaluate members' medical and behavioral health needs
• Develop and implement individualized care plans, ensuring alignment with clinical and program guidelines
• Coordinate and monitor ongoing care plan activities, adjusting as needed to improve outcomes
• Collaborate in multidisciplinary care reviews to optimize member health results
• Identify and escalate quality of care concerns...