Care Manager | Remote | Texas | Contract

Care Manager| 2+ years’ experience | Remote | Texas | Contract Walker Healthforce is seeking a Care Manager with 2+ years of experience to support a healthcare client based out of Texas. This is an 6-month contract opportunity. START DATE: 10/13/2025 HOURS/SCHEDULE: Usually Monday thru Friday 8 am to 5pm however may need to alternate at times to be able to locate members (7am to 4pm or 9 am to 6pm or i.e.: Saturday 8am to 12pm- these time zones are CST for now) WORKER TYPE: W2 CORE REQUIREMENTS: • 2+ years of clinical experience with Case Management experience • Knowledge of clinical terminology • Understanding BP readings, Glucose Readings, Annual Wellness check-ups • Demonstrated ability to communicate, problem solve, and work effectively with people • Excellent organizational skill with the ability to manage multiple priorities • Work independently and handle multiple projects simultaneously • Strong analytical skills • Knowledge of applicable state, and federal regulations • Knowledge of ICD-9, CPT coding and HCPC • Knowledge of SSI, Coordination of benefits, and Third-Party Liability programs and integration • Familiarity with NCQA standards, state/federal regulations and measurement techniques • In depth knowledge of CCA and/or other Case Management tools • Ability to take initiative and see tasks to completion • Computer skills and experience with Microsoft Office Products • Excellent verbal and written communication skills • Able to maintain regular attendance based upon agreed schedule • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA) • Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers. • Bachelor’s degree in social work or health education (a combination of experience and education will be considered in lieu of degree WE CONSIDER IT A BONUS IF YOU ALSO HAVE: • RN or a LVN or an MSW • Bilingual JOB RESPONSIBILITIES: • Provides case management services to members with chronic or complex conditions • Proactively identifies members that may qualify for potential case management services • Conducts assessment of member needs by collecting in-depth information from information system, the member, member's family/caregiver, hospital staff, physicians and other providers • Identifies, assesses and manages members per established criteria • Develops and implements a case management plan in collaboration with the members, caregiver, physician and/or other appropriate healthcare professionals to address the member needs • Performs ongoing monitoring of the plan of care to evaluate effectiveness • Documents care plan progress in information system • Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes • Measures the effectiveness of interventions to determine case management outcomes • Promotes integration of services for members including behavioral health and long-term care to enhance the continuity of care for Molina members • Conducts face to face or home visits as required • Maintains department productivity and quality measures • Manages and completes assigned work plan objectives and projects in a timely manner • Demonstrates dependability and reliability • Maintains effective team member relations • Adheres to all documentation guidelines activities • Attends regular staff meetings • Participates in Interdisciplinary Care Team (ICT) meetings • Assists orientation and mentoring of new team members as appropriate • Maintains professional relationships with provider community and internal and external customers • Always conducts self in a professional manner • Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct • Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth • Comply with required workplace safety standards WHAT WE OFFER: • Competitive compensation package • Weekly pay via Direct Deposit • Medical, Dental & Vision available • 401k options WHY WORK WITH WALKER? • Access to our top ranked team of recruiting and placement specialists • Continuous, one-on-one support from a dedicated engagement manager • Professional resume development and interview preparation Contact our Recruiting Team today to experience the Walker Healthforce difference! ABOUT US: Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. #IND1 Apply tot his job