Activatecare
Clinical Case Manager (Sign-on Bonus)
Las Vegas, Nevada, United States
No sponsorshipDetected 22 days ago
ComplianceHIPAAPublic Speaking
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Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- The Clinical Case Manager is the senior clinical resource embedded within a team of Community Health Workers (CHWs) serving Medicaid members.
- While this role has no direct reports, the Clinical Case Manager is a leader on the team, providing clinical oversight, case consultation, and hands-on assistance to CHWs as they engage members and address health-related social needs.
- We are open to a range of licensed backgrounds for this role, including RN, LPN, LCSW, and LMHC, as well as experienced case managers from hospital, discharge planning, and managed care settings.
Responsibilities
- Help develop and reinforce team workflows, clinical protocols, and best practices in partnership with leadership.
- Support CHWs through difficult situations in the field and debrief afterward.
- Maintain timely, accurate clinical documentation in the care management platform.
Requirements
- 3+ years of post-licensure clinical or case management experience, including assessment and, where applicable to your scope, crisis intervention.
- Comfort with community/field-based work and telehealth
- valid driver's license and reliable transportation if field travel is required.
Nice to have
- Demonstrated experience with Medicaid documentation, billing workflows, or CPT/HCPCS coding within an integrated care or care management setting is a plus.
Skills
- Degree appropriate to your licensure (for example, ASN or BSN for nursing, MSW for LCSW, master's in counseling for LMHC).
- Prior case management, hospital, discharge planning, or care coordination experience.
- Case Management Certification (for example, CCM) is preferred.
- Experience working with Nevada Medicaid, underserved, or community-based populations.
- Strong knowledge of social determinants of health and community resource navigation.
- Ability to work effectively alongside CHWs and interdisciplinary teams as a non-supervisory clinical resource.
- Comfort with community/field-based work and telehealth; valid driver's license and reliable transportation if field travel is required.
Benefits
- At Activate Care, we're on a mission to improve health equity and drive improved health outcomes across the country.
- Our Community Care Record platform enables healthcare and community organizations to coordinate care for populations challenged with health-related social needs.
- Path Assist is our tech-enabled community health worker program for HRSN utilizing an evidence-based, structured intervention.
- increase health confidence, improve self-efficacy, and reduce inappropriate healthcare spending.
- Own the daily clinical audit of the Transitions of Care (TOC) queue, utilizing health plan guidelines to appropriately triage complex Level 2 cases and route clean Level 1 referrals to the CHW team.
- Lead and represent the organization in monthly joint Level 1 and Level 2 case conferences with health plan clinical leadership.
- Coach and mentor CHWs to strengthen engagement skills, recognition of behavioral health and risk indicators, and appropriate escalation.
- Identify and execute direct-billing opportunities for licensed behavioral health interventions and assessments allowable under Nevada Medicaid.
- Conduct biopsychosocial and behavioral health assessments to identify member needs, strengths, and risks.
- Provide brief, evidence-based clinical intervention (such as motivational interviewing and solution-focused techniques) and warm hand-offs to ongoing behavioral health treatment.
- Serve as the team's escalation point for members presenting with behavioral health, safety, or crisis concerns.
Company info
- Contribute clinical expertise to individualized care plans as part of the interdisciplinary care team (ICT).
Visa & Work Authorization
- The Company will not sponsor applicants for work visas at this time
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This listing is sourced directly from Activatecare's careers page and normalized into a canonical job model.