Remote Case Manager I - Healthcare

Job Title: Healthcare Case Manager I - Remote | WFH

Job Overview

We are looking for a motivated and compassionate Healthcare Case Manager I to join our dedicated team. This remote position is open to candidates residing within Chicago Cook County, IL. In this role, you will play a crucial part in assisting individuals in long-term care (LTC) by guiding them through their unique challenges and supporting them in achieving their personal goals.

Key Responsibilities
? Conduct thorough assessments of members in adherence to mandated timelines.
? Collaborate with each member?s support network to formulate and execute tailored case management plans.
? Provide insight on covered benefits and navigate funding sources to enhance member support.
? Lead interdisciplinary care team (ICT) meetings to discuss service approvals and promote teamwork.
? Identify and address barriers to care, offering assistance with psychosocial, financial, and medical issues.
? Detect critical incidents and devise prevention strategies to safeguard members? health and well-being.
? Ensure seamless care coordination to facilitate access to necessary services for members.

Required Skills
? Strong analytical and problem-solving abilities.
? Familiarity with applicable state and federal regulations.
? Understanding of ICD-9, CPT coding, and HCPC.
? Knowledge of SSI processes, coordination of benefits, and third-party liability programs.
? Experience with NCQA standards and measurement techniques.
? Proficiency in utilizing case management tools such as CCA or similar systems.

Qualifications
? Bachelor's degree in Nursing, or a Master's degree in Social Work, Health Education, or a closely related discipline.
? An active and unrestricted State Registered Nursing license OR Licensed Clinical Social Worker (LCSW) OR Advanced Practice Social Worker (APSW) in good standing.
? 0-2 years of clinical experience, particularly in case management.

Career Growth Opportunities

This role offers exceptional potential for professional development, enabling you to refine your skills while making a significant impact in the lives of individuals who require support. You will be part of a collaborative environment that fosters growth and advancement.

Company Culture And Values

Our organization is committed to fostering a compassionate and inclusive workplace where collaboration, mutual respect, and personal development are paramount. You will be joining a team dedicated to making a real difference in the lives of others.

Ready to advance your career? Apply now and become part of our mission to transform lives?one case at a time!

Employment Type: Full-Time

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