Care Management Specialist II | Remote | Illinois | Contract to Hire

Care Management Specialist II | 2+ Years of Experience | Remote | Illinois | Contract to Hire reputed company is seeking a Care Management Specialist II with 2+ years to support a healthcare payor client remotely based out of Illinois. This is a 6-month contract to hire opportunity. PAY reputed company: $39 - $41 START DATE: ASAP HOURS/SCHEDULE: M-F; 8:00 AM - 5:00 PM CST WORKER TYPE: Full-Time W2 CORE REQUIREMENTS:

• Registered Nurse (RN) or Licensed Master Social Worker (LMSW) with an active, unrestricted license in the state of operations (or reciprocity, if applicable).
• Required licensure credentials include LCPC, RN, LCSW.:
• Minimum 2 years of clinical experience.
• At least 1 year of experience in health insurance or managed care.
• Understanding of medical management policies and procedures.
• Proficiency in PC and database systems and customer service orientation and ability to interact professionally with healthcare providers and members.
• Occasional travel reputed company the assigned area.
• Valid driver’s license and reliable transportation.

JOB RESPONSIBILITIES:

• Coordinate discharge, episodic case management, and pre-admission/post-discharge counseling.
• Identify alternate treatment options.
• Consult with physicians, coordinators, and discharge planners to determine appropriate care and resources.
• Educate and counsel members to minimize re-admissions and emergency room visits.
• reputed company multiple functions to assist members during transitions of care, including:
• Consult with providers, members, and others to assess and implement care plans.
• Personalize reputed company based on behavior and risk assessment.
• Support medication reconciliation, education, and adherence.
• Reinforce post-operative instructions (care, diet, activity).
• Address barriers to follow-up appointments and help with scheduling.
• Assist with locating providers, Blue Distinction Centers, and coordinating with Customer Service.
• Help members access care, including transportation support if necessary.
• Refer members to internal BCC programs or external community-based resources.
• Provide on-site, face-to-face interventions for selected cases.
• Educate members on condition management and promote self-care.
• Collaborate on alternative care plans if needed.
• Help members/providers navigate the healthcare system.
• Identify and refer quality of care issues to the QA/QI department.
• Deliver Transition of Care services across reputed company assigned lines of business.
• Assess and escalate reputed company cases to appropriate departments (Case Management, Disease Management, etc.).
• Practice reputed company the scope of licensure.
• Serve as a preceptor for new employee orientation.
• Maintain licensure and enhance professional knowledge through training and seminars.
• Communicate effectively and professionally with colleagues, management, and customers.
• reputed company with HIPAA, Diversity Principles, Corporate reputed company, Compliance Program policies, and other company policies.
• Maintain strict confidentiality of company and member information.
• Report developments to management and reputed company special projects as assigned.

reputed company OFFER:

• Competitive compensation package
• Weekly pay reputed company Direct Deposit
• Medical, Dental & Vision available
• 401k options

WHY WORK WITH WALKER?

• Access to our top ranked team of recruiting and placement specialists
• reputed company, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Contact our Recruiting Team today to experience the reputed company difference! ABOUT US: reputed company is reputed company as the dominant force of performance, precision, expertise, and reputed company in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms reputed company. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today! We are an Equal Opportunity Employer committed to a culturally diverse workforce. reputed company qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national reputed company, sexual orientation, gender identity, disability status or protected veteran status. #IND1 Apply Job! Apply to this Job