Case Management Coordinator – Field, Illinois

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 reviewing benefit plans and available programs/services.

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

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

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

• Present cases during multidisciplinary case conferences.

• Detect and escalate quality-of-care concerns.

• Negotiate suitable options and services to address members' benefits and healthcare needs.

• Utilize influencing and motivational interviewing techniques to engage members and encourage lifestyle or behavioral changes.

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

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

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

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

• Travel throughout the Metro East/Southern Illinois area to support members.

⛳️ Requirements

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

• Willingness and capability to travel 50-75% of the time within the Metro East, Illinois area.

• Reliable transportation is mandatory.

• At least 2 years of experience with electronic documentation.

• Proficiency in Microsoft Office applications.

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

• Availability during standard business hours, Monday-Friday, from 8:00 am to 5:00 pm CST.

🏝️ Benefits

• Mileage reimbursement in accordance with 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.

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