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 information/data analysis.

• Suggest strategies for case resolution and addressing members’ needs by assessing benefit plans and available programs/services.

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

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

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

• Present cases at case conferences for multidisciplinary assessment.

• Spot and escalate quality-of-care concerns through the appropriate channels.

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

• Employ influencing and motivational interviewing techniques to engage members and encourage lifestyle/behavior modifications.

• Offer coaching, information, and support to enable members to make autonomous medical and healthy lifestyle choices.

• Participate in ongoing team meetings and provide peer mentoring/training.

• Assist members in engaging knowledgeably with providers in healthcare decision-making.

• Apply 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 relevant field equivalent to program focus.

• Must be willing and able to travel 50-75% of the time within Cook County, Illinois.

• Reliable transportation is essential.

• Must possess 2+ years of experience with electronic documentation and Microsoft Office applications.

• Experience in case management and discharge planning is preferred.

• Managed Care experience is an advantage.

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

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

🏝️ Benefits

• Mileage is reimbursed according to our company expense reimbursement policy.

• Medical coverage.

• Dental coverage.

• Vision 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.