Health Plan Care Manager (RN/LSW) – Medicare Advantage

CommuniCare Health; Riverside (OH); On-site; USD 75,000 - 90,000; Full time

Job summary

A healthcare organization is recruiting Health Plan Care Managers in Indiana and Ohio. This role involves coordinating care for Medicare Advantage members, performing health assessments, and collaborating with a diverse interdisciplinary team. Candidates must be licensed as a Registered Nurse or Social Worker, with 3-5 years in Case/Care Management preferred. Strong communication and organizational skills are essential. The position requires reliable transportation and offers a chance to work closely with members to improve care quality.

Qualifications

• Licensed master’s in social work or licensed Registered Nurse (RN) required.
• Minimum of 3-5 years in Case/Care Management preferred.
• Knowledge of Medicare Advantage and care coordination for high-risk populations.

Responsibilities

• Oversee and coordinate care for assigned ISNP members.
• Perform health risk assessments and develop care plans.
• Collaborate with interdisciplinary care team for member care.

Skills

Care coordination

Critical thinking

Communication skills

Documentation integrity

Organizational skills

Education

Licensed master's in social work or bachelor's degree in nursing

Tools

Health assessment applications

Care management documentation systems

Job description

A healthcare organization is recruiting Health Plan Care Managers in Indiana and Ohio. This role involves coordinating care for Medicare Advantage members, performing health assessments, and collaborating with a diverse interdisciplinary team. Candidates must be licensed as a Registered Nurse or Social Worker, with 3-5 years in Case/Care Management preferred. Strong communication and organizational skills are essential. The position requires reliable transportation and offers a chance to work closely with members to improve care quality.