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Care Management Specialist II

Epitec Staffing

Downers Grove, IL

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JOB DETAILS
SALARY
SKILLS
Case Management, Clinical Medicine, Communication Skills, Community and Social Services, Customer Support/Service, Database Technology, Discharge Plans, Documentation, Driver's License, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Health Plan, Healthcare, Healthcare Providers, Home Care, Hospital, Interpersonal Skills, Licensed Clinical Social Worker (LCSW), Maintain Compliance, Managed Care, Medical Treatment, Medications, Needs Assessment, Patient Safety, Presentation/Verbal Skills, Quality Assurance, Quality Monitoring, Regulatory Compliance, Risk Analysis, Treatment Plan, Willing to Travel, Writing Skills
LOCATION
Downers Grove, IL
POSTED
6 days ago

Position: Care Management Specialist 

Location: Downers Grove, IL (Remote, training is on-site and travel is required to homes/facilities)

Employment Type: Full-Time Contract

Pay: $38 per hour 

Description: This position is responsible for discharge care coordination, episodic case management and pre-admission/post-discharge counseling for acute conditions. This position is responsible for handling duties in an independent manner and may assist other staff. 

Responsibilities:

  • Coordinate discharge planning, transitions of care, and episodic case management, including pre- and post-discharge support
  • Collaborate with physicians, providers, and care teams to assess needs, develop care plans, and ensure appropriate patient outcomes
  • Educate members on treatment plans, medications, and post-operative care to reduce readmissions and ER utilization
  • Conduct outreach and engagement based on risk assessments, addressing barriers to care and supporting follow-up compliance
  • Coordinate services and referrals to community resources, transportation, home health, and specialty providers
  • Reconcile medications and monitor adherence to ensure patient safety and regulatory compliance
  • Assist members in navigating the healthcare system, including provider selection and appointment scheduling
  • Monitor cases for quality issues and escalate to QA/QI as needed
  • Support care coordination through documentation, communication, and participation in transition of care programs
  • Ensure compliance with HIPAA, regulatory standards, and organizational policies while maintaining confidentiality

Requirements:

  • Licensed Clinical Professional Counselor (LCPC) or Licensed Clinical Social Worker (LCSW) with current, active, unrestricted license in the state of Illinois
  • 2 years of clinical experience and 1 year of health insurance/managed care experience
  • Knowledge of medical management policies and procedures
  • PC and database experience
  • Verbal and written communication skills
  • Customer service skills and interpersonal skills to discuss pre/post admission care with physicians, hospital staff and members
  • Ability and willingness to occasionally travel within assigned location
  • Possess transportation and current, valid driver's license for applicable state. 

 

 

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About the Company

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Epitec Staffing