Case Management Coordinator – Field

• Conduct comprehensive evaluations of members' needs and eligibility using care management tools and information/data review
• Recommend approaches to case resolution and meeting members' needs by evaluating benefit plans and available programs/services
• Identify high-risk factors and service needs and refer members to clinical case management or crisis intervention as appropriate
• Coordinate and implement assigned care plan activities and monitor care plan progress
• Consult with case managers, supervisors, Medical Directors and other health programs to overcome barriers
• Present cases at case conferences for multidisciplinary review
• Identify and escalation quality-of-care issues through established channels
• Negotiate appropriate options and services to meet members' benefits and healthcare needs
• Use influencing and motivational interviewing skills to engage members and promote lifestyle/behavior changes
• Provide coaching, information and support to empower members to make independent medical and healthy lifestyle choices
• Engage in ongoing team meetings and provide peer mentoring/training
• Help members participate knowledgeably with providers in healthcare decision-making
• Use case management and quality management processes in compliance with regulatory, accreditation and company requirements

Requirements

• 2+ years experience in Behavioral Health, Social Services or appropriate related field equivalent to program focus
• Must be willing and able to travel 50-75% of the time in Cook County, Illinois
• Reliable transportation required
• Must have 2+ years of experience of electronic documentation experience and Microsoft Office applications
• Case management and discharge planning experience preferred
• Managed Care experience preferred
• Bachelor's degree or non-licensed master level clinician required
• Degree must be in Behavioral Health or Human Services (Psychology, Social Work, Marriage and Family therapy, Counseling)

Core Competencies

Demonstrates expertise in case management and behavioral health, with a strong focus on member engagement, care plan coordination, and compliance with regulatory standards. Proficient in using motivational interviewing techniques and electronic documentation to support members in achieving their healthcare goals.

Highest-signal resume keywords

• Case Management Experience
• Behavioral Health Expertise
• Motivational Interviewing Skills
• Electronic Documentation Proficiency
• Bachelor's Degree in Behavioral Health