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CrossFire Group
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42.02
HOUR
true
Care Review Clinician II
Posted: 05/08/2025
2025-05-08
2025-06-14
Industry: Healthcare
Job Number: 45874664
Pay Rate: $42.02 / hour
Job Description
Field Case Manager – Medicaid (Emerging High Risk Program)
Location: Virginia-based (Remote + 30% Field Travel)
Territories: Central VA, Tidewater, Southwest VA, NOVA
Pay Rate: $49.09/hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM (No weekends)
Contract: 3-month contract with potential for extension or temp-to-perm hire
Territories: Central VA, Tidewater, Southwest VA, NOVA
Pay Rate: $49.09/hour
Schedule: Monday–Friday, 8:00 AM–5:00 PM (No weekends)
Contract: 3-month contract with potential for extension or temp-to-perm hire
About the Role
Our client, a mission-driven leader in managed healthcare, is hiring multiple Field Case Managers to support their Emerging High Risk (EHR) Medicaid population across Virginia. In this hybrid role, you will conduct in-home member assessments, develop care plans, coordinate services, and ensure high-need members receive holistic, community-based support.
This is an ideal opportunity for professionals with backgrounds in nursing, social work, behavioral health, or public health who thrive in field-based roles and are passionate about care coordination for vulnerable populations.
Key Responsibilities
- Conduct in-home, telephonic, and virtual assessments to identify member health and psychosocial needs.
- Develop and monitor care plans tailored to each member’s goals, in collaboration with providers, caregivers, and interdisciplinary teams.
- Coordinate services and referrals for behavioral health, long-term supports, and other wraparound needs.
- Engage in interdisciplinary care team (ICT) meetings to ensure continuity and effectiveness of care.
- Document all activities in electronic systems accurately and within required timeframes.
- Travel locally (30%+) to complete face-to-face visits; mileage is reimbursed.
Must-Have Qualifications
- Must reside in Virginia and have the ability to travel locally for member visits.
- 1–3 years of experience in case management, care coordination, managed care, or medical/behavioral health settings.
- One of the following educational/licensure paths:
- LVN/LPN with active license in good standing
- Bachelor's or Master’s in Social Work, Psychology, Gerontology, Public Health, or a related field
- RN (Bachelor’s in Nursing preferred)
- Valid driver’s license, clean driving record, and reliable transportation.
- High-speed internet and dedicated home office setup.
Preferred Attributes
- Experience supporting Medicaid or high-risk populations.
- Strong interpersonal and motivational interviewing skills.
- Exceptional time management, documentation, and system navigation ability.
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