Care Manager (RN/LICSW)

Company Overview

As one of the Washington Metropolitan-area’s fastest growing IT companies, we are always looking for creative, passionate and responsible employees. We acknowledge that intelligent, dedicated employees are our greatest asset and are continuously adding to our talented and diverse team. If you feel innovation, integrity and a drive to deliver are key components to success, we invite you to become Enlightened.

Work Arrangement

This is an in-office position. The office is conveniently located within walking distance of two Metro stations. Associates are responsible for their commuting costs; however, the company offers a commuter benefits program to assist with eligible expenses.

Position Responsibilities

The Care Manager (RN/LICSW) is responsible for engaging with enrollees, their caregivers, and providers to assess needs, develop care plans, and establish individualized goals. This role supports enrollees who are appropriate for care coordination and case management services, helping them achieve their optimal level of health and overall well-being.

• This individual will support the Complex Care Management program by providing comprehensive, person-centered care management services to enrollees across the lifespan who are living with complex medical needs.
• Assess enrollees to determine care coordination and case management needs for all referred enrollees.
• Complete comprehensive person-centered assessments covering physical health, psychosocial health, environmental factors, social determinants of health, and supportive needs.
• Identify problems and barriers to care coordination and implement appropriate care management interventions.
• Coordinate physical, behavioral health, and social services.
• Provide medication management, including regular reconciliation and support for medication adherence.
• Develop care plans to help enrollees reduce or resolve problems and barriers, enabling them to achieve optimal health.
• Establish short- and long-term goals with associated time frames, sharing these goals with enrollees and caregivers as appropriate.
• Identify and implement appropriate interventions based on enrollee needs and clinical progress.
• Schedule follow-up calls as necessary, make referrals, and take action to address enrollee issues. Document progress toward goals and problem resolution.
• Coordinate care and services with Care Coordinators, Community Health Navigators, enrollees, caregivers, Primary Care Physicians (PCPs), specialists, and facility/vendor providers.

Required Qualifications

• Qualified candidates must reside in the DC Metro area (District of Columbia residents strongly preferred).Active DC RN or current unrestricted LICSW license.
• Bachelor's degree or higher in a health-related field preferred
• Case manager certification preferred (as documented and accepted on URAC’s website at www.urac.org [http://www.urac.org/]).
• 3 to 5 years of nursing/social work experience required, including working with Medicaid populations in hospital or community health settings.
• 3 to 5 years of experience working with adult and/or pediatric populations with complex medical and behavioral health needs required.
• 3 to 5 years of case management experience preferred.
• Willingness to meet face-to-face with enrollees in the community based on business needs.
• Bilingual English/Spanish or English/Amharic preferred.

Benefits

The expected salary range for this position is listed above. Actual compensation will be determined based on experience and qualifications as well as internal equity and alignment with market data.

• At Enlightened, we pride ourselves on offering a comprehensive and industry-competitive benefits package to our full-time employees. Our benefits include:
• Medical/Dental/Vision Insurance with Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA)
• 401(k) Retirement Plan
• Paid Holidays, Vacation, & Sick Leave
• Professional Training & Development Reimbursement

Please note, these benefits are available exclusively to full-time employees of Enlightened.

Enlightened is proud be an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.