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 data analysis.

• Suggest solutions for case resolution and assess benefit plans along with available programs and services.

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

• Organize and execute designated care plan activities, while monitoring progress.

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

• Present cases during case conferences for multidisciplinary evaluation.

• Detect and escalate issues related to quality of care.

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

• Employ influencing and motivational interviewing techniques to encourage member engagement and promote healthy behavioral changes.

• Guide, inform, and assist members in making autonomous medical and healthy lifestyle decisions.

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

• Support members in actively engaging in healthcare decision-making with their providers.

• Implement case management and quality management protocols in alignment with regulatory, accreditation, and company standards.

⛳️ Requirements

• Over 2 years of experience in behavioral health or social services.

• Must be willing and able to travel 50–75% in Franklin, Williamson, Union, Johnson, Massac, Alexander, Pulaski, and nearby counties.

• Reliable transportation is a necessity.

• At least 1 year of experience with Microsoft Office Suite applications (MS Word, Excel, Outlook, and PowerPoint).

• A Bachelor's degree or a non-licensed master's level clinician is required, with a degree in behavioral health or human services such as psychology, social work, marriage and family therapy, or counseling.

🏝️ Benefits

• Mileage reimbursement according to the company’s expense reimbursement policy.

• Medical coverage.

• Dental coverage.

• Vision 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.