$37-$38 per hour
remote, IL
Contract
Duration: 2 months contracts
Position Summary
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The Case Manager utilizes a collaborative process of assessment, planning, coordination, facilitation, and advocacy to support members in meeting their healthcare and benefit plan needs.
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This role is responsible for conducting comprehensive member assessments, developing care plans, coordinating services, and promoting cost-effective healthcare outcomes through effective communication and available resources.
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The ideal candidate will have strong clinical experience, case management expertise, and the ability to work independently while collaborating with providers, care teams, and community resources to support members with complex medical and social needs.
Key Responsibilities
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Conduct comprehensive assessments of members' healthcare needs, eligibility, and benefit plans through clinical tools, data review, and member interaction.
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Develop, implement, and monitor individualized care plans to address medical, behavioral, and social needs.
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Coordinate care and collaborate with healthcare providers, care teams, and community organizations to ensure continuity of care.
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Evaluate and interpret clinical guidelines, policies, procedures, and regulatory standards to ensure appropriate administration of benefits and services.
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Facilitate discharge planning, home health coordination, and care transitions as needed.
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Advocate for members by identifying appropriate services and resources to improve outcomes and remove barriers to care.
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Maintain accurate documentation and ensure compliance with quality management standards, accreditation requirements, and company policies.
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Support members in navigating healthcare systems and making informed decisions about their care.
Required Qualifications
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Active, unrestricted Illinois state license in one of the following:
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Registered Nurse ( RN )
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Licensed Clinical Social Worker ( LCSW )
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Licensed Clinical Professional Counselor ( LCPC )
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Minimum 3-5 years of clinical experience required.
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Minimum 2-3 years of experience in care management, case management, discharge planning, or home health coordination preferred.
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Strong analytical, problem-solving, organizational, and communication skills.
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Ability to work independently in a remote environment while collaborating effectively with virtual teams.
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Proficiency in Microsoft Office applications including Word, Excel, Outlook, and PowerPoint.
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Comfortable navigating multiple systems and maintaining accurate documentation.
Preferred Qualifications
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Case Management Certification (CCM) preferred.
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Experience supporting Medicare, Medicaid, managed care, or dual-eligible populations preferred.
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Experience with waiver services, discharge planning, or home healthcare coordination preferred.
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
AI Statement: By applying, you acknowledge that AI-assisted tools may be used during hiring.
