Case Manager I

Job Title: Case Manager I

Location: Fully Remote (must be in IL)

Duration: 03+ months (possible extension)

Schedule Mon-Fri 8:30AM-5:00PM CST

Pay rate: $41- 41.29/hr. on W2

Job Description:

• Will this role be fully remote? Yes
• Are there any specific locations the candidates should be in (i.e., do they need to live in IL) They do need to live in IL
• What are the day to day job duties? Making outbound calls to complete initial and annual health risk assessments, building care plans, answering questions for low level case management.
• Top Skills Required: Efficient, can utilize different applications and screens at one time, adapts easily to change, excellent member experience skills, can work independently.
• Required Education/Certification(s): Medical background – social work, case management, nursing.
• Required Years of Experience:3-5
• Is there potential for this to extend past 3 months and/or convert to an FTE? yes

Job Summary:

*** Services (HCS) works with members, providers and multidisciplinary team members to assess,

facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.

Knowledge/Skills/Abilities:

• Utilizes a collaborative process of assessment, planning, implementation and evaluation to engage, educate, and
• promote members' decisions related to achieving and maintaining optimal health status.
• May request RN input for member care planning.
• Typically works with members with moderate to complex clinical needs.
• Conducts standardized Health Risk Appraisals (HRA) and applicable assessments, including the verification of medical history and current health and wellness needs.
• Expected to meet daily production standards in terms of member outreach.
• Utilizes a web-based software system to document all assessments, activities and education provided.
• Develops a problem list and individualized care plan using program protocols based on the members needs and preferences.
• Conducts telephonic education to promote self-management strategies for all applicable conditions.
• 5 - 15% local travel may be required.

Required Education:

Any of the following:

• Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR Bachelor's or Master's Degree in a social science, psychology, gerontology, public health or social work.