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Behavioral Health Case Management Coordinator - Work From Home

Role overview

Qualifications

  • Registered Nurse (RN) OR Masters-level Behavioral Health Professional or Doctoral degree in a Behavioral Health field with a license to practice at the independent level
  • 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

Responsibilities

  • Perform behavioral health case management in accordance with accepted department criteria
  • Consult with physicians, providers, members, and other resources to assess, plan, facilitate, coordinate, monitor, evaluate, and advocate options and services
  • Serve as liaison to providers, physicians, and members
  • Use communication and available resources to promote quality, cost effective outcomes

Key facts

Hard skills

Other skills

  • Customer Service
  • Non-Verbal Communication
  • Communication
  • Problem Solving
  • Adaptability
  • Teamwork

About the company

Health Care Service Corporation logo

Health Care Service Corporation

Health Insurance (Payers)

Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC), is an Independent Licensee of the Blue Cross and Blue Shield Association. We are the largest customer-owned health insurer in the United States, serving more than 18.6 million members through our Plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs. Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry. As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible. Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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