Case Management Coordinator – Field, Winnebago, Boone and Jo Daviess Counties

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

📋 Description

• Perform thorough assessments of members' requirements and eligibility by utilizing care management tools and data analysis.

• Suggest strategies for case resolution and fulfilling member needs by reviewing benefit plans alongside 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 the progress of the care plan.

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

• Present cases during case conferences for a multidisciplinary assessment.

• Identify and report quality-of-care concerns through the proper channels.

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

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

• Offer coaching, information, and support to empower members in making medical and healthy lifestyle choices.

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

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

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

⛳️ Requirements

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

• Willingness and capability 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 a non-licensed master's level clinician in Behavioral Health or Human Services, including Psychology, Social Work, Marriage and Family Therapy, or Counseling is required.

• Prior experience in case management and discharge planning is preferred.

• Experience in Managed Care is preferred.

🏝️ Benefits

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

• CVS Health bonus, commission, or short-term incentive program, in addition to base salary.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

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