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Case Manager - Brown County, IL

Location : Brown County, IL
Job Type : Contract to Direct
Reference Code : 7771
Hours : Full Time
Travel : No
Relocation : No
Job Category : Medical and Nursing

Job Description :

We have a great client in the Brown County, IL area who is in need of an RN, LCSW, or APSW to fulfill their Case Manager needs!


 


Case Manager Job Responsibilities:


Summary: Responsible for health care management and coordination of Molina Healthcare members in order to achieve optimal clinical, financial and quality of life outcomes.


 


Case Manager Job Requirements:


 

Knowledge of ICD-9, CPT coding and HCPC. SSI, Coordination of benefits, and Third Party Liability programs and integration. Familiarity with NCQA standards, state/federal regulations and measurement techniques. In depth knowledge of CCA and/or other Case Management tools. Ability to take initiative and see tasks to completion. Computer skills and experience with Microsoft Office Products. Excellent verbal and written communication skills. Ability to abide by s policies. Able to maintain regular attendance based upon agreed schedule. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers. Required Education: Bachelors degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).


 


Required Experience: 0-2 years of clinical experience with case management experience.


 


Required Licensure/Certification: Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing. A combination of experience and education will be considered in lieu of LCSW or APSW. Must have valid drivers license with good driving record and be able to drive locally.





Required Qualifications :
 
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