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
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.