Case Management Coordinator; Pima County, Arizona

Position Summary

The Case Management Coordinator is a work-from-home position with travel required (in Pima County, Arizona) to visit members. This role coordinates, documents, and communicates all aspects of the utilization/benefit management program, applying critical thinking and medical necessity criteria to provide care coordination, support, education, and coaching.

• Conduct comprehensive evaluations of referred members’ needs and eligibility, recommend case resolution approaches based on benefit plans and available programs.
• Identify high‑risk factors and service needs, coordinate and implement assigned care plans, and monitor progress.
• Use a holistic approach to overcome care barriers, present cases at multidisciplinary conferences, and identify quality‑of‑care issues.
• Negotiate appropriate options and services, employ motivational interviewing skills, and promote member engagement and lifestyle changes.
• Coach members to make independent medical and lifestyle choices and support collaboration with providers in decision‑making.
• Maintain case‑management documentation in compliance with regulatory and accreditation guidelines and company policies.

• 2+ years of experience in case management with individuals having serious mental illness (SMI) or elderly/physically disabled.
• Must reside in Pima County, Arizona.
• Willingness to travel up to 50% within Pima County.

• Strong organizational and time‑management skills.
• Ability to collaborate with internal and external partners.
• Proficiency in Microsoft Office Suite.
• Previous collaboration with medical professionals.
• Bilingual (English/Spanish).
• Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling.
• Licensed Registered Nurse (RN) valid in Arizona.

Pay range: $21.10 - $40.90 per hour (or equivalent salary). Base pay depends on experience, education, and geography. Eligible for bonus, commission, or short‑term incentive programs.

Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

Remote work with frequent travel within Pima County, Arizona.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.