Who we are:

Third Way Health (www.thirdway.health) helps medical practices and healthcare organizations across the United States to improve the patient experience while reducing the administrative burden on practice owners and management. We enable practices and healthcare organizations to enhance the experience of their patients by providing them with a leading technology platform and world class services. What unites us is our passion to support physicians and help patients from all backgrounds to have a better healthcare experience.

About the position:

Are you a healthcare professional passionate about patient well-being and skilled in case management? This opportunity is for you! As a Case Manager, you will play a key role in ensuring our members receive the best possible care through efficient and compassionate case management.

Responsibilities:

• Assess and manage member cases to ensure comprehensive and personalized care.
• Develop individualized care plans tailored to each patient's medical, physical, and psychosocial needs.
• Coordinate follow-ups and continuity of care between hospitals, home care, and other healthcare services.
• Identify and address barriers to treatment adherence.
• Educate and guide patients and caregivers on chronic disease management and health prevention.
• Ensure proper medication reconciliation and coordinate post-hospital discharge care.
• Collaborate with an interdisciplinary team to provide the highest quality of care.
• Provide telephonic support to members and be available for on-call rotations as needed.
• Participate in audits, meetings, and training sessions to continuously improve service quality.
• Maintain confidentiality and protect members’ right to privacy.

Required skills and qualifications:

• Current and active nursing license (LVN/RN) or a related healthcare certification in California.
• Experience in case management, healthcare coordination, or managed care settings (IPA, MSO, health plans).
• Strong analytical, critical thinking, and communication skills.
• Excellent written and verbal communication, with the ability to explain medical information clearly.
• Organizational and multitasking abilities, with great decision-making skills.
• Ability to work autonomously while being an active team player.
• High level of discretion and professionalism when handling sensitive information.
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
• Knowledge of ICE, DHS, DMHC, NCQA, and CMS standards is a plus.
• Previous experience in Case Management (BCM, CCM, SNP, ECM) is highly valued.