Case Management Coordinator – Field

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Collaborate and support the case management process.

• Facilitate suitable healthcare outcomes for members.

• Assist with scheduling appointments.

• Identify and help members access benefits and education through care management tools and resources.

• Assess members' needs, eligibility, benefit plans, and available programs or services.

• Recognize high-risk factors and service needs, referring to clinical case management or crisis intervention as necessary.

• Coordinate and execute assigned care plan activities while monitoring progress.

• Consult with case managers, supervisors, Medical Directors, and other health programs to address barriers.

• Present cases during case conferences for multidisciplinary review.

• Identify and elevate quality-of-care concerns.

• Negotiate suitable options and services to meet members' benefits and healthcare requirements.

• Employ influencing and motivational interviewing techniques to enhance member engagement and drive behavior changes.

• Provide coaching, information, and support for independent medical and healthy lifestyle choices.

• Participate in team meetings and offer peer mentoring/training.

• Assist members in making informed healthcare decisions.

• Utilize case management and quality management processes in accordance with regulatory, accreditation, and company standards.

⛳️ Requirements

• A minimum of 2 years of experience in Behavioral Health, Social Services, or a related field that aligns with program focus.

• Must be prepared and able to travel 50-75% of the time within DuPage, Kane, DeKalb, and Kendall Counties in Illinois.

• Reliable transportation is a must.

• At least 2 years of experience with electronic documentation and proficiency in Microsoft Office applications.

• Preferred experience in case management and discharge planning.

• Managed Care experience is preferred.

• A Bachelor’s degree or a non-licensed master's level clinician qualification is required.

• Degree must be in Behavioral Health or Human Services (such as Psychology, Social Work, Marriage and Family Therapy, Counseling).

🏝️ Benefits

• Mileage reimbursement according to our company expense reimbursement policy.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, based on eligibility.

• CVS Health bonus, commission, or short-term incentive program in addition to the base pay range.