Government Programs Care Manager II

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

📋 Description

• Deliver care coordination to members through telephonic and/or field-based care management.

• Educate and inform members about healthcare programs tailored to their personal health requirements.

• Engage members in conversations regarding adherence to their health objectives.

• Address inquiries from members promptly.

• Assist in clinical operations and facilitate activities for both providers and members.

• Conduct member health screenings via phone or in the field.

• Perform thorough health assessments and develop care plans.

• Pay visits to members’ homes and/or facilities as necessary.

• Present clinical concerns to members and healthcare providers.

• Travel within Cook and Collar counties, as well as the assigned territory.

• Maintain a work schedule of 8:00 AM to 4:30 PM CST, Monday through Friday.

⛳️ Requirements

• Must hold a Registered Nurse (RN) license, or any of the following: unrestricted Licensed Professional Counselor (LPC, TX), Licensed Master Social Worker (LMSW, TX), Licensed Clinical Professional Counselor (LCPC, IL), Licensed Clinical Social Worker (LCSW, IL & NM), Licensed Marriage and Family Therapist (LMFT, IL & NM), Licensed Professional Clinical Counselor (LPCC, NM), Licensed Independent Social Worker (LISW, NM), Licensed Social Worker (LSW, IL), or Licensed Mental Health Counselor (LMHC, NM).

• Possess a current, valid, and unrestricted license in the state of operations or have reciprocity.

• For compact licensees relocating permanently to the state of operations, active unrestricted RN licensure must be obtained within 90 days of hire.

• A minimum of 3 years' experience in wellness or managed care, presenting clinical matters to members and physicians.

• Familiarity with the health and wellness market and employer trends.

• Strong verbal and written communication skills for discussing medical needs and interacting with internal staff, management, external vendors, and community resources.

• Experience with analytical tasks, including medical data analysis.

• Proficiency in PC applications such as Word, Excel, and PowerPoint.

• Experience with databases and web-based applications.

• Valid unrestricted driver’s license, reliable transportation, and appropriate insurance coverage.

• Willingness and ability to travel within the designated territory.

• For Illinois high-needs children: a Bachelor’s degree in nursing, social sciences, social work, or a related field.

• For Illinois high-needs children: at least 1 year of supervised clinical experience in a human-services area.

• Please note that sponsorship is not available.

🏝️ Benefits

• Personalized development plans.

• Opportunities for professional growth and development.

• Unionized position.

• Option for remote/work-from-home arrangements.