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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.

 

#LI-FW1

#LI-Remote
This is a Remote/Work-From-Home role for Illinois (IL). Travel requirement - up to 2% occasionally for onsite presentation in the Downers Grove office.
Work Hours are within business hours of 8:00 AM – 5:00 PM CST, Monday through Friday.

Sponsorship is not available

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range

$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.