Job Description
Are you a compassionate and experienced Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Counselor (LPC) in Illinois? Do you thrive in a collaborative environment and enjoy helping individuals navigate the complexities of the healthcare system? If so, we're looking for you!
We're seeking a dedicated Clinical Case Manager to join our growing Value-Based Care Services team. In this remote role, you'll play a vital part in enhancing the quality of member management, maximizing satisfaction, and promoting cost-effective healthcare solutions. You'll work closely with clients and members to empower them to achieve their personal health-related goals.
What You'll Be Doing:
Data Analysis & Member Eligibility: Dive into data to identify eligible members for our Population Health Management Program.
Care Coordination: Ensure timely, effective, and member-centric care, following established healthcare processes.
Case Management: Manage case assignments from outreach to closure, ensuring thorough documentation and monitoring progress.
Collaboration & Reporting: Meet reporting standards and participate in collaborative meetings with team members and clients.
Member Empowerment: Assist members in reaching wellness and health autonomy by addressing barriers, social determinants, and psychosocial issues.
Healthcare Navigation: Educate members on navigating the healthcare system, promoting quality and cost-effective interventions.
Operational Support: Support operational aspects of the division to meet customer requirements and satisfaction.
Confidentiality: Maintain strict confidentiality of all computer programs, medical records, and data.
Quality & Utilization Management: Participate in QM/UM committee meetings (if applicable), including material preparation, data analysis, and reporting.
On-Call Rotation: Participate in off-hour/weekend call rotations (if applicable).
Professional Development: Continuously grow your professional knowledge and skills in line with current case management standards and your licensure requirements.
Additional Responsibilities: Handle other assigned tasks and adapt to changes in program requirements.
What You'll Need to Have:
Current Illinois LCSW, LCPC, or LPC licensure.
Minimum of five years of experience in various healthcare settings or a Managed Care Organization.
Solid understanding of case management principles, healthcare management, and reimbursement components, with experience in motivational interviewing.
Excellent clinical judgment and strong verbal and written communication skills.
Strong organizational, problem-solving, and time management skills.
Ability to ensure timely completion of projects and assignments.
Ability to prioritize and adapt to rapidly changing business needs.
Ability to work independently and remotely with excellent multitasking skills.
Proficiency in software applications, including MS Word, Excel, Access, PDF, and Outlook.
Experience navigating multiple Electronic Medical Records (EMRs).
Reliable high-speed/secured home internet connection, a private home office, and backup internet options.
What We Offer:
Fully Remote Work Environment: Enjoy the flexibility and convenience of working from home.
Comprehensive Benefits: Medical, dental, and vision plans to support your well-being.
Retirement Planning: 401(k) plan with a generous employer match.
Peace of Mind: Life and disability insurance, plus voluntary life options.
Employee Assistance Program (EAP): Support during challenging times.
Flexible Time Off: Achieve work-life balance with flexible time off.
Paid Parental Leave: Support for new parents.
Professional Development: Resources for learning and career growth.
Competitive Compensation: $70,000.00 per year, with flexible daytime scheduling options (four 10-hour shifts, Monday-Friday, 6 am-6 pm CT, available after orientation). Final pay is based on experience and qualifications.
Equipment Provided: we provide the equipment needed to perform your job.
Equal Opportunity Employer: We are committed to diversity, inclusion, and belonging.
Remote Work Technical Requirements:
Reliable high-speed internet connection (minimum 50 Mbps download, 10 Mbps upload).
We look forward to hearing from you!
Employment Type: Full-Time
Salary: $ 82,466.00 Per Year
Job Tags
Full time, Remote job, Home office, Flexible hours, Shift work, Weekend work, Monday to Friday,