Remote Clinical Case Manager - LCSW (Social Worker) | WFH

Job Overview

We are actively seeking a committed and skilled Licensed Clinical Case Manager to become a valued member of our team. In this fully remote position, you will play a crucial role in coordinating and managing population health programs, ensuring that our members receive exceptional quality of care. This role not only offers flexible scheduling but also presents an opportunity to significantly influence members’ health and well-being.

Key Responsibilities

• Analyze and sort data to establish member eligibility for the Population Health Management Program.
• Deliver timely, effective, equitable, and member-focused care while adhering to HMO processes.
• Oversee case assignments, which include outreach, documentation, monitoring case progression, and case closure.
• Maintain reporting and documentation standards while collaborating with department staff and clients.
• Assist members in realizing their health and wellness goals by addressing barriers, social determinants, motivators, and psychosocial challenges.
• Educate members on effectively navigating the healthcare system, promoting informed decision-making, and ensuring quality and cost-effective outcomes.
• Contribute to the operational functions of the division to meet customer satisfaction and organizational objectives.
• Ensure confidentiality concerning all computer programs, medical records, and data.
• Attend Quality Management (QM) and Utilization Management (UM) committee meetings as necessary, which may require in-person participation.
• Participate in off-hour/weekend calls as required.
• Engage in continuous professional development to remain abreast of case management standards and licensure mandates.
• Assume additional responsibilities as assigned aligned with program updates and needs.
  
  

Required Skills

• Active and unrestricted IL LCSW, LCPC, or LPC license.
• Minimum of five years' experience in diverse healthcare environments or a Managed Care Organization.
• Strong understanding of case management principles, healthcare management, and reimbursement models, coupled with experience in motivational interviewing.
• Excellent clinical judgment, complemented by outstanding verbal and written communication skills.
• Exceptional organizational, problem-solving, and time management capabilities.
• Ability to work autonomously in a fast-paced remote setting while effectively multitasking.
• Proficiency in Microsoft Office Suite (Word, Excel, Access, Outlook, PDF) and familiarity with multiple EMRs.
• Reliable high-speed internet connection at home and a designated private office space with a locking door for security and confidentiality.
  
  

Qualifications

• Active and unrestricted IL LCSW, LCPC, or LPC license.
• At least five years of experience in healthcare case management or a related field.
  
  

Career Growth Opportunities

At our organization, we emphasize ongoing professional development to ensure that you stay current with case management practices and licensure requirements. We are committed to providing resources for learning and professional advancement, enabling you to enhance your career trajectory.

Compensation And Benefits

• Salary: $70,000 per year, compensated bi-weekly.
• Schedule: Flexible daytime hours, including the possibility of four 10-hour shifts (Monday-Friday, 6 AM-6 PM CT). Flexibility is available following a successful orientation and supervisor review.
  
  

Why Join Us?

We pride ourselves on supporting our employees, offering a comprehensive benefits package that promotes work-life balance, professional growth, and overall well-being. If you are passionate about improving healthcare outcomes and thrive in a collaborative, flexible remote environment, we encourage you to apply!

Employment Type: Full-Time