Description

We are seeking an experienced and compassionate Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC), or Licensed Professional Counselor (LPC) in Illinois to join our team as a Clinical Case Manager. In this role, you will play a critical part in supporting members through their healthcare journey, helping them navigate the system, achieve personal health goals, and maximize overall wellness. You will work closely with clients and members, providing telephonic outreach, conducting assessments, and ensuring high-quality, cost-effective care.

As part of the Value-Based Care Services team, you will contribute to data analysis, clinical reviews, reporting, and care coordination while maintaining compliance with Federal and State regulations, NCQA standards, and company policies.

Company Culture and Environment

We are an equal opportunity employer and are committed to fostering an inclusive workplace where diversity is celebrated. Our culture prioritizes empathy, collaboration, and a shared commitment to the well-being of our clients.

Career Growth and Development Opportunities

Engage in ongoing professional development to stay current with case management standards and licensing requirements, with resources and opportunities to advance your career.

Detailed Benefits and Perks

• Remote Work Flexibility: Enjoy a fully remote position with no commuting required.
• Health Coverage: Comprehensive medical, dental, and vision plans.
• Retirement Savings: 401(k) with a 3% employer match on a 6% employee contribution.
• Life & Disability Insurance: Employer-provided coverage plus voluntary life insurance options.
• Employee Assistance Program (EAP): Confidential support during challenging times.
• Flexible Time Off (FTO): Encourages work-life balance tailored to your needs.
• Parental Leave: Paid time off to support growing families.

Compensation and Benefits

• Salary: $70,000 per year.
• Schedule: Flexible daytime scheduling available (e.g., four 10-hour shifts), Monday through Friday, between 6:00 AM and 6:00 PM CT. Flexibility is available after a successful orientation and supervisor evaluation.

Why you should apply for this position today

This position offers the chance to make a meaningful impact in the healthcare sector while benefiting from a supportive work environment that values both personal and professional growth.

Skills

• Active and unrestricted Illinois licensure as an LCSW, LCPC, or LPC.
• Strong understanding of case management principles, healthcare management, and reimbursement structures.
• Experience with motivational interviewing techniques.
• Excellent clinical judgment and highly developed verbal and written communication skills.
• Strong organizational, problem-solving, and time-management skills.
• Ability to work independently in a fast-paced remote environment.
• Proficiency in Microsoft Office Suite (Word, Excel, Access, Outlook, PDF) and experience navigating multiple Electronic Medical Records (EMRs).
• Secure home office with high-speed internet (minimum 50 Mbps download, 10 Mbps upload) and backup connectivity options.

Responsibilities

• Analyze and organize data to determine member eligibility for the Population Health Management Program.
• Coordinate and deliver timely, effective, equitable, and member-centered care following HMO processes.
• Manage case assignments, including outreach, documentation, case monitoring, and closure.
• Maintain accurate records and meet reporting/documentation standards while actively participating in team meetings.
• Assist members in overcoming barriers to care by addressing social determinants, psychosocial challenges, and individual motivators.
• Educate members on navigating the healthcare system, including HMO processes, to ensure informed decision-making and cost-effective outcomes.
• Support operational needs to maintain high customer satisfaction.
• Ensure strict confidentiality regarding medical records, data, and all electronic systems.
• Participate in Quality Management and Utilization Management Committee meetings, including material preparation, data collection, analysis, and follow-up tasks (may require occasional in-person attendance).
• Provide support in off-hours or weekend rotations as needed.
• Adapt to program changes and additional responsibilities as assigned.

Qualifications

• Minimum of five years of experience in healthcare settings or a Managed Care Organization.
• Excellent communication skills, both verbal and written.

Education Requirements

• Active and unrestricted Illinois licensure as an LCSW, LCPC, or LPC.

Education Requirements Credential Category

• Licensure in social work or counseling.

Experience Requirements

• At least five years of relevant experience in healthcare settings or a Managed Care Organization.

Why work in Rockford, IL

Rockford offers a blend of urban amenities and natural beauty, with affordable living and a variety of recreational opportunities. The city is known for its vibrant arts scene, numerous parks, and strong community engagement, making it an ideal location for both personal and professional fulfillment.