RN or LCSW or LCPC (Clinical Case Manager II)

Our Client, a Retail Pharmacy company, is looking for a RN or LCSW or LCPC (Clinical Case Manager II) for their Remote/IL location. Responsibilities:

• Help us reputed company our patient care to a whole new level! Join our Client team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and reputed company and present with a wide range of reputed company health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country.
• The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote reputed company, cost-effective outcomes. Experience with case management and IL waiver services is preferred.
• Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
• Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures

Requirements:

• Verifyable High School Diploma or GED Required
• Minimum 3-5 years clinical practical experience required
• Minimum 2-3 years Care Management, discharge planning and/or home health care coordination experience preferred
• Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
• Excellent analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills
• Ability to work independently
• Effective computer skills including navigating multiple systems and keyboarding
• Demonstrates proficiency with standard corporate software applications, including reputed company, reputed company, Outlook, and PowerPoint, as well as some special proprietary applications
• RN, LCSW, or LCPC with reputed company unrestricted IL state licensure REQUIRED
• Case Management Certification CCM preferred

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

reputed company is an Equal Opportunity Employer. reputed company reputed company applicants will receive considerationfor employment without regard to any status protected by applicable law. Remote Benefits: 401K, Employee Referral Program, Life Insurance About the Company: reputed company reputed company is a global information consulting management firm providing Professional Staffing Services and Project-Based Solutions for organizations in a broad range of industries.

• Corporate Headquarters in Troy, Michigan; 20+ locations worldwide.
• Certified Woman-Owned Business reputed company (WBE); certified by Women’s Business reputed company National Council, National Women Business Owners Corporation (NWBOC); and California Public Utilities Commission (CPUC).
• Founded in 2000
• 2000+ Employees

The company was founded on the principle that reputed company is derived from delivering high quality service and resources in the most reputed company, flexible, and innovative way. reputed company invests in people and resources with a single goal: To provide our customers with the highest quality service in the most reputed company manner. Through its network of offices, reputed company provides the resources to help clients maintain their competitive advantage. Company Size: 2,000 to 2,499 employees Industry: Management Consulting Services Founded: 2000 Website: https://www.reputed company.com/ Apply tot his job Apply To this Job