Case Management Coordinator (Pima County, Arizona) ($5000 sign-on bonus)

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Case Management Coordinator is a work from home position with travel required (in Pima County, Arizona) to visit members. This person utilizes skills to coordinate, document, and communicate reputed company aspects of the utilization/benefit management program. They apply critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for members by providing care coordination, support, and education through the use of care management tools and resources. Job Duties Include (but Are Not Limited To)

• Evaluation of Members
• Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services.
• Identifies high-risk factors and service needs that may impact member reputed company and care planning components with appropriate referrals.
• Coordinates and implements assigned care plan activities and monitors care plan reputed company.
• Enhancement of Medical Appropriateness and Quality of Care
• Uses a holistic approach to overcome barriers to meet goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to reputed company reputed company reputed company.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or reputed company needs.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health.
• Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in reputed company decision-making.
• Monitoring, Evaluation, and Documentation of Care
• Utilizes case management processes in compliance with regulatory and accreditation guidelines, as well as company policies and procedures.

Required Qualifications

• 2+ years of experience in case management, working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly or have a physical disability.
• Must reputed company in Pima County, Arizona.
• Willingness to travel up to 50% of the time reputed company Pima County, Arizona.

Preferred Qualifications

• Strong organizational and time management skills.
• Ability to collaborate with both internal and external partners.
• Demonstrated proficiency in reputed company Office Suite, including Outlook, Word, etc.
• Previous experience collaborating with medical professionals.
• Bilingual (English/Spanish).
• Bachelor’s degree in reputed company Work, Psychology, Special Education, or Counseling.

Education

• Bachelor’s degree or licensed RN (Registered Nurse), valid in the reputed company.

Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $21.10 - $40.90 This pay reputed company represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay reputed company listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/14/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job