Note: The job is a remote job and is open to candidates in USA. OpTech is a woman-owned company that values your ideas and encourages your growth. The Business Project Manager in Healthcare will lead a multidisciplinary team to provide holistic care for a diverse health plan population, acting as the primary contact for members and caregivers.

Responsibilities

• Lead a multidisciplinary team—including social workers, dietitians, pharmacists, and clinical support staff—to deliver care telephonically and digitally
• Assess members’ health, psychosocial needs, cultural preferences, and support systems
• Develop and implement individualized care plans in partnership with members and caregivers, addressing gaps and barriers to improve outcomes
• Coordinate resources such as community services, mental health support, disease-specific programs, and transportation or durable medical equipment
• Provide education on health literacy, self-management, medications, and nutrition
• Advocate for members while promoting self-advocacy and engagement in care
• Monitor and adjust care plans as needed, documenting interactions and progress accurately
• Facilitate smooth transitions from facilities to home or other care settings, ensuring continuity of care
• Maintain compliance with professional standards and pursue ongoing development, including Case Management certification (CCM)

Skills

• Nursing Diploma or Associate's degree required
• 3+ years of clinical nursing experience in acute, post-acute, or community settings
• Current, unrestricted Michigan RN license required
• CCM certification required or to be obtained within 18 months
• Bachelor's degree strongly preferred
• Case management experience in a managed care setting preferred
• Experience with telephonic and digital patient management preferred
• CCP certification preferred

Benefits

• Health and dental benefits
• Training opportunities
• Flexible/remote work options
• Growth opportunities
• 401K
• Competitive pay

Company Overview