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 strategies for case resolution and fulfilling member requirements by assessing benefit plans and available programs/services.

• Recognize high-risk factors and service requirements, ensuring appropriate referrals to clinical case management or crisis intervention.

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

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

• Present cases during case conferences for multidisciplinary evaluation.

• Detect and escalate quality-of-care concerns through established processes.

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

• Apply influencing and motivational interviewing techniques to engage members and encourage lifestyle/behavior changes.

• Offer coaching, information, and support for independent medical and healthy lifestyle decisions.

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

• Assist members in making informed decisions with providers regarding their healthcare.

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

⛳️ Requirements

• Minimum of 2 years' experience in Behavioral Health, Social Services, or a related field relevant to the program focus.

• Must be willing and able to travel 50-75% of the time within Winnebago, Boone, Stephenson, Ogle, and Jo Daviess Counties, Illinois.

• Reliable transportation is necessary.

• At least 2 years of experience with electronic documentation.

• Proficiency in Microsoft Office applications.

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

• Case management and discharge planning experience is preferred.

• Experience in Managed Care is preferred.

🏝️ 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 promoting physical, emotional, and financial well-being.