Case Manager

Job not on LinkedIn

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🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sigma Systems

WebsiteLinkedInAll Job Openings

201 - 500 employees

📡 Telecommunications

⚡ Energy

☁️ SaaS

💰 $11M Venture Round - Tribold on 2009-01

Telecommunications • Energy • SaaS

Sigma Systems is a software company that provides cloud-native, API-driven BSS/OSS, product catalog, CPQ and order orchestration solutions for communications service providers and energy/utilities companies. It offers modular, TMF-compliant components and managed services — including AI-enabled automation and data-driven tools — to help operators modernize billing, monetization, and customer fulfillment processes with a SaaS and cloud-focused delivery model.

📋 Description

• Manage members with complex health needs across the continuum of case management services • Conduct telephonic clinical assessments addressing members’ health and wellness needs • Support members with chronic and complex conditions through education, coaching, resources, and interventions • Develop case-specific or condition-specific plans of care using the clinical information system • Establish short- and long-term health goals • Maintain regular telephonic contact with members to review progress and reassess needs • Modify care plans when appropriate • Communicate with treating providers in complex clinical situations • Provide education, consultation, and training to other clinical teams • Identify online, telephonic, and community-based resources and assist members in accessing services • Educate members about health conditions, self-management, preventive care, lifestyle improvements, and healthcare resources • Incorporate preventive health services and lifestyle improvement opportunities into member interactions • Accurately document activities according to business processes, regulatory requirements, and accreditation standards • Assist with appeals/denials, provider inquiries, claims processing, and benefit information interpretation • Coordinate specialized services such as transplant facilities and other member support programs • Perform other duties as assigned

🎯 Requirements

• Must hold a current, active Registered Nurse (RN) license in Pennsylvania • Must reside in Pennsylvania to work remotely • US Citizenship required • 5+ years of relevant healthcare/case management experience • Disease Management experience required • Strong clinical assessment experience, particularly for care coordination and member education • Prior Case Management experience • Experience working in Managed Care environments • Experience working with Medicaid populations strongly preferred • Telephonic Case Management / telephonic outreach experience preferred • Experience developing and managing individualized care plans • Experience identifying and coordinating community resources • Knowledge of preventive health services and chronic disease management • Experience with an 1-800/member service line preferred • Strong clinical assessment and care coordination skills • Excellent verbal and written communication skills • Strong member education and motivational interviewing abilities • Ability to work independently and effectively manage time and caseloads • Strong organizational and documentation skills • Compassionate and professional approach when working with members • Strong understanding of chronic disease management and health promotion • Excellent work ethic and ability to operate effectively in a remote environment • Must complete the Care Manager Assessment • Certified Case Manager (CCM) certification preferred

🏖️ Benefits

• Contract duration: 6 months • Remote work arrangement for candidates residing in Pennsylvania • ASAP start date