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Case Manager I

Location : Remote (Illinois)
Job Type : Contract
Reference Code : 13984
Hours : Full Time
Required Years of Experience : 2+
Required Education : Bachelors degree, preferably in Psychology or Social Work from an accredited college or university
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services
Job Category : Healthcare - Social Services/Mental Health

Job Description :

We have an immediate opening for a Remote Case Manager to join our team in Illinois! **PLEASE NOTE - candidate must be located in/near Fulton, Peoria, Tazewell County or Northwest Illinois to qualify. This is a 3-month contract-to-hire position. Candidates MUST have 2+ years current or recent social work experience, a Bachelor’s degree in psychology or social work, a valid state driver’s license and auto insurance in good standing to qualify - no exceptions! An active, unrestricted IL State RN or social work license (LCSW) is strongly preferred for consideration.

Hours: full-time; 40 hrs/wk

Salary: up to $36/hr (based on experience)

Essential Responsibilities:
Works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. Work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.


 


• Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
• Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
• Conducts telephonic, face-to-face or home visits as required.
• Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Maintains ongoing member case load for regular outreach and management.
• Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for members.
• May implement specific wellness programs i.e. asthma and depression disease management.
• Facilitates interdisciplinary care team meetings and informal ICT collaboration.
• Uses motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts.
• Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
• Collaborates with RN case managers/supervisors as needed or required
• Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
• Local travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Central Programs unit. The counties furthest East covered are Boone, Dekalb, Lasalle and Woodford.


Required Qualifications :

Required Experience:



  • 2+ years of current or recent social work experience


Required Education:



  • Bachelors degree, preferably in Psychology or Social Work from an accredited college or university


Required License(s):



  • Valid, unrestricted IL State RN or social work (LCSW) license in good standing highly desired, but not required

  • Valid State driver's license and auto insurance in good standing


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