Care Manager – SNP

WVU Medicine

Lead Care Manager responsible for coordinating care for SNP members, ensuring high-quality healthcare management. Collaborating with teams to maintain care plans and compliance with health regulations.

Posted 7/11/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Providing coordination of care to SNP members, including establishing and maintaining a care plan.
Coordinating care with ICT members and coordinating care during transitions of care.
Acting as a liaison for the Interdisciplinary Care Team (ICT) in conjunction with the PCP and beneficiary/caregiver.
Collaborating with other CM team members to support the beneficiary through TOC events.
Managing and triaging member self-referrals to care management programs.
Assisting in ensuring compliance with CMS SNP Model of Care (MOC) expectations, NCQA standards, and Medicare Advantage regulatory requirements.

Requirements

What you’ll need

Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).
Three (3) years of healthcare clinical experience.
One (1) years Care Management, Case Management or Population Health experience.
Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma.
Management of Medicare and/or Medicaid and/ or SNP populations.
One (1) year SNP Care Management experience.

Benefits

Comp & perks

Health insurance
Competitive salary
Paid time off

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Care CoordinationCare Plan DevelopmentCompliance ManagementMember Self-Referral ManagementInterdisciplinary Team Collaboration

Soft Skills

CommunicationCollaborationLiaison Skills