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

Job Overview

Join our dedicated Value-Based Care Services team as a Clinical Case Manager, where your expertise as an Illinois-licensed LCSW, LCPC, or LPC will allow you to make a significant impact on the healthcare journey of our members. This remote position offers the flexibility to engage with members through telephonic outreach and clinical assessments while ensuring adherence to all relevant regulations and best practices.

Key Responsibilities

• Assess data to establish member eligibility for Population Health Management programs.
• Deliver timely, effective, equitable, and member-focused care, following HMO procedures.
• Manage case assignments, including outreach, documentation, progress tracking, and case closure.
• Collaborate with colleagues and clients while maintaining documentation and reporting standards.
• Assist members in overcoming barriers to care by addressing psychosocial issues and social determinants of health.
• Educate members on navigating the healthcare system to ensure they receive high-quality, cost-effective care.
• Uphold confidentiality concerning all medical records and data.
• Participate in quality management and utilization management committee meetings, including material preparation and follow-up tasks.
• Provide off-hour/weekend call coverage as required.
• Stay updated with case management best practices and licensure requirements.
• Undertake additional responsibilities as necessary due to program changes.
  
  

Required Skills

• Current licensure in Illinois as an LCSW, LCPC, or LPC.
• A minimum of five years of experience in various healthcare environments or managed care organizations.
• Strong grasp of case management principles and healthcare management.
• Proficient in motivational interviewing and member engagement techniques.
• Exceptional clinical judgment and strong verbal and written communication abilities.
• Strong organizational, analytical, and time management skills.
• Capacity to work autonomously and handle multiple priorities in a fast-paced setting.
• Proficient in Microsoft Office Suite and experience with various Electronic Medical Record (EMR) systems.
  
  

Qualifications

• Must hold a valid Illinois license as an LCSW, LCPC, or LPC.
• At least five years of experience in diverse healthcare settings or managed care organizations.
  
  

Career Growth Opportunities

We are committed to fostering your professional development through robust learning and development resources that empower you to advance your career within our organization.

Company Culture And Values

Join us in an inclusive workplace that values diversity and encourages all employees to feel respected and empowered. We believe in providing our employees with the necessary resources to thrive both professionally and personally.

Compensation And Benefits

• Annual salary: $70,000
• Flexible scheduling options following successful orientation and supervisor evaluation.
• Option for four 10-hour shifts.
• Work hours are Monday-Friday between 6:00 AM - 6:00 PM CT.
• Comprehensive benefits package including medical, dental, and vision insurance, a 401(k) plan with a 3% employer match, life and disability insurance options, and an Employee Assistance Program (EAP).
• Flexible time-off policy and paid parental leave.
  
  

If you are passionate about making a difference in healthcare and thrive in a collaborative, mission-driven environment, we encourage you to apply today!

Employment Type: Full-Time