Job Description
Job Overview:We are seeking a dedicated and experienced Licensed Clinical Case Manager to join our team. In this role, you will be responsible for coordinating and managing population health programs, ensuring members receive the highest quality care. This fully remote position offers flexible scheduling and the opportunity to make a meaningful impact on members' health and well-being.
What You'll Be Doing:
Pull, sort, and analyze data to determine member eligibility for the Population Health Management Program.
Provide timely, effective, equitable, safe, and member-centric care while following HMO processes.
Manage case assignments, including outreach, documentation, monitoring case progression, and case closure.
Meet reporting and documentation standards while collaborating with department staff and clients.
Assist members in achieving health and wellness goals by addressing barriers, social determinants, motivators, and psychosocial challenges.
Educate members on navigating the healthcare system, ensuring they make informed decisions, and promoting quality, cost-effective outcomes.
Support the operational aspects of the division to meet customer satisfaction and organizational goals.
Maintain confidentiality regarding all computer programs, medical records, and data.
Participate in Quality Management (QM) and Utilization Management (UM) committee meetings, which may require in-person attendance.
Rotate in off-hour/weekend calls, if applicable.
Engage in ongoing professional development to stay current with case management standards and licensure requirements.
Fulfill additional responsibilities as assigned based on program updates and requirements.
What You'll Need:
Active and unrestricted IL LCSW, LCPC, or LPC license.
At least five years of experience in diverse healthcare settings or a Managed Care Organization.
Solid understanding of case management principles, healthcare management, and reimbursement models, with experience in motivational interviewing.
Strong clinical judgment and excellent verbal and written communication skills.
Outstanding organizational, problem-solving, and time management abilities.
Ability to work independently in a fast-paced remote environment while multitasking effectively.
Proficiency in Microsoft Office Suite (Word, Excel, Access, Outlook, PDF) and experience with multiple EMRs.
A high-speed, secure home internet connection and a private home office with a locking door for security and privacy. Backup internet connection options may be required.
Compensation & Schedule:
Salary: $70,000 per year, paid bi-weekly.
Schedule: Flexible daytime hours, including the option of four 10-hour shifts (Monday-Friday, 6 AM-6 PM CT). Flexibility is available after a successful orientation and supervisor evaluation.
Why Join Us?We are committed to supporting our employees by offering comprehensive benefits that promote work-life balance, career growth, and overall well-being.
Remote Work: Enjoy the flexibility of working from home.
Comprehensive Health Coverage: Medical, Dental, and Vision plans for you and your family.
Retirement Planning: 401(k) with a 3% employer match to your 6% contribution.
Peace of Mind: Employer-provided Life and Disability insurance, with optional additional coverage.
Employee Assistance Program (EAP): Support when you need it most.
Flexible Time Off: Achieve work-life balance with paid time off tailored to your needs.
Parental Leave: Paid time off to support you and your growing family.
Career Development: Resources for learning and professional growth.
Commitment to Diversity & Equal Opportunity:We value diversity, inclusion, and belonging in our workplace. Employment decisions are made without regard to race, age, gender, sexual orientation, national origin, veteran status, disability, or any other legally protected status. We are committed to providing a fair and supportive work environment for all employees.
Remote Work Requirements:As a fully remote company, we provide employees with the necessary equipment for their role at no cost. Employees must have a home internet connection that meets the minimum speed requirements (50 Mbps download, 10 Mbps upload) for video calls and system access. Please confirm with your internet provider or perform a speed test to ensure your connection meets these requirements.
If you are passionate about improving healthcare outcomes and working in a collaborative, flexible remote environment, we encourage you to apply!
Employment Type: Full-Time
Salary: $ 24.00 Per Hour
Job Tags
Hourly pay, Full time, Remote job, Home office, Flexible hours, Shift work, Monday to Friday,