Case Management Coordinator – Field

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

📋 Description

• Perform thorough assessments of members' needs and eligibility utilizing care management tools and reviewing relevant information/data.

• Propose strategies for case resolution and addressing member needs by examining benefit plans and available programs/services.

• Recognize high-risk factors and service requirements, referring members to clinical case management or crisis intervention when suitable.

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

• Collaborate with case managers, supervisors, Medical Directors, and other health programs to navigate obstacles to care objectives.

• Present cases during case conferences for multidisciplinary evaluation.

• Identify and report quality-of-care concerns through established procedures.

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

• Employ influencing and motivational interviewing techniques to engage members and encourage lifestyle or behavioral modifications.

• Offer coaching, information, and support for autonomous medical and healthy lifestyle choices.

• Engage in team meetings and provide peer mentoring/training.

• Assist members in making informed healthcare decisions with providers.

• Implement 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 aligned with program focus.

• Willingness and capability to travel 50-75% of the time within Cook County, Illinois, primarily on the west side of Chicago.

• Reliable transportation is mandatory.

• At least 2 years of experience with electronic documentation.

• Proficiency with Microsoft Office applications.

• A Bachelor's degree or a non-licensed master's level clinician in Behavioral Health or Human Services, such as Psychology, Social Work, Marriage and Family Therapy, or Counseling is required.

• Preferred experience in case management and discharge planning.

• Managed Care experience is preferred.

🏝️ Benefits

• Mileage reimbursement according to our company's expense reimbursement policy.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources promoting physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.