Behavioral Health Case Management Coordinator - Work From Home

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Job Summary

This position is responsible for performing behavioral health case management in accordance with accepted department criteria; consulting with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services required to meet an individual’s and family’s comprehensive health needs; using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.

REQUIRED JOB QUALIFICATIONS

* Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field (LCSW, LPC, LCPC, LMFT, RPsy) with a license to practice at the independent level in this field. * Current, valid, unrestricted clinical license in state of operations (IL). * 2 years clinical experience (post licensure at the independent practice level) of direct clinical care to the consumer. * Utilization management, discharge planning or managed care experience. * Customer service oriented. * PC and database experience. * Verbal and written communication skills

PREFERRED JOB QUALIFICATIONS

* MUST be licensed to practice at the independent level for this role. The # of years of clinical experience required for this role is post licensure (# of years) at the independent practice level *If a Registered Nurse (RN): must have at least 2 years psychiatric clinical experience (post licensure) of direct clinical care to the consumer. * Case Management Certification (CCM). * 3 years clinical practice experience. * Familiarity with ancillary services, for example, wellness or community-based programs (housing, family support services). * Provider side insurance experience. * Familiarity with Utilization Management or Case Management activities and standardized criteria sets. * Bilingual in English/Spanish or English/Polish.

* This role is a part of a dedicated custom team , where candidate will be expected to represent the team’s work during client audits.

* Efficiency in Microsoft Teams and use of virtual training/productivity tools.

* MUST have Client-interfacing experience, good communication and presentation skills and effective at problem solving.

* Travel requirement - up to 2% occasionally for onsite presentation in the Downers Grove office. * Work Hours- Within business hours of 8:00 AM – 5:00 PM CST, Monday through Friday. *Must work well with interdisciplinary team and is able to adapt to change.