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

Job Overview

We are seeking a dedicated and empathetic Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Counselor (LPC) to join our dynamic team as a Clinical Case Manager. This fully remote position allows you to make a significant impact on the healthcare journeys of our members while enjoying the flexibility of working from home.

Key Responsibilities

• Collaborate with clients, healthcare providers, and members to enhance overall well-being and tackle challenges in their healthcare journey.
• Conduct telephonic outreach, perform data analysis, and undertake clinical reviews while ensuring compliance with relevant federal and state regulations.
• Manage case assignments, including outreach, documentation, monitoring progress, and closing cases to ensure effective member-focused care.
• Assist members in overcoming obstacles to care by addressing social determinants of health and psychosocial issues.
• Provide education to members regarding HMO processes and empower them to make informed healthcare decisions.
• Participate in collaborative meetings with staff and clients, maintaining accurate reporting and documentation.
• Contribute to Quality Management and Utilization Management Committee meetings, including preparation of materials and follow-ups.
• Maintain confidentiality regarding medical records and sensitive program details while adhering to security protocols.
  
  

Required Skills

• Active Illinois LCSW, LCPC, or LPC license.
• A minimum of five years of experience in healthcare, managed care, or related settings.
• In-depth understanding of case management principles and healthcare management.
• Proficient in motivational interviewing with strong clinical judgment capabilities.
• Exceptional verbal and written communication skills.
• Strong organizational, problem-solving, and time management abilities.
• Capacity to work independently and remotely in a fast-paced environment while managing multiple tasks.
• Proficiency in Microsoft Office Suite and navigation of multiple Electronic Medical Record (EMR) systems.
  
  

Qualifications

• Candidates must possess an active Illinois LCSW, LCPC, or LPC license.
• Five years of relevant experience in healthcare environments or managed care organizations is required.
  
  

Career Growth Opportunities

We are committed to fostering an environment of professional development, offering learning and development resources to facilitate your career advancement. You will have the opportunity to engage in Quality Management and Utilization Management Committee meetings, further enhancing your professional network and growth.

Compensation And Benefits

• Salary: $70,000 annually.
• Flexible scheduling options after successful orientation, including the possibility of four 10-hour shifts.
• Fully remote work opportunity, promoting a healthy work-life balance.
• Comprehensive healthcare benefits, including medical, dental, and vision coverage.
• 401(k) plan with a 3% employer match for employee contributions up to 6%.
• Company-sponsored life and disability insurance.
• Employee Assistance Program (EAP) for confidential support on personal and professional matters.
• Flexible Paid Time Off (PTO) policy to ensure work-life balance.
• Paid parental leave to support employees starting or growing their families.
  
  

Join Us!

If you are driven by a passion for improving the lives of individuals navigating their healthcare experiences, we encourage you to apply. This position provides a unique opportunity to influence patient outcomes while benefiting from the flexibility of remote work within a collaborative and supportive team environment.

Employment Type: Full-Time