You will report into the Case Management supervisor.
Coordinate care across settings (inpatient, outpatient, ER, home care) while maintaining strict confidentiality and high professional standards.
Partner with members and providers to navigate complex health challenges and create personalized care plans that drive better clinical outcomes.
Assess and address Social Determinants of Health (SDOH) by connecting members with tailored community support resources.
Provide crisis intervention support and act as a dedicated member advocate to resolve barriers to care and treatment compliance.
Engage directly with members via phone, secure messaging, or in-person, to provide education on health conditions, hospital discharges, medical procedures, and new prescriptions.
