Remote Clinical Case Manager - LCSW (Social Worker)

Overview

Guidehealth is looking for an Illinois Licensed LCSW, LCPC, or LCP that will work to enhance the quality of member management, maximize both satisfaction and cost effectiveness, and assist in navigating the health care system as a collaborative health partner in their health care team.

In Short

• Work closely with clients and members to promote wellness and problem-solve.
• Conduct telephonic member and provider outreach.
• Perform data collection and analysis for member eligibility.
• Manage case assignments and documentation.
• Assist members in reaching wellness and health autonomy.
• Educate members on navigating the healthcare system.
• Support operational aspects to meet customer requirements.
• Maintain confidentiality of medical records and data.
• Participate in QM/UM Committee Meetings.
• Responsible for continued professional growth and education.

Requirements

• Current IL LCSW, LCPC, or LPC.
• Minimum of five years of experience in healthcare settings.
• Basic knowledge of case management principles.
• Excellent clinical judgment and communication skills.
• Strong organizational and problem-solving skills.
• Ability to work independently and remotely.
• Proficient in MS Word, Excel, and EMR systems.
• High-speed internet connection and secure home office.

Benefits

• Fully remote work environment.
• Comprehensive Medical, Dental, and Vision plans.
• 401(k) plan with employer match.
• Life and Disability insurance options.
• Employee Assistance Program (EAP).
• Flexible Time Off policy.
• Paid parental leave.
• Resources for professional growth and development.