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 Apply Job!