Care Management Specialist
Pay: $38
Travel, In the field near Downers Grove, IL

What You’ll Do:

Coordinate discharge care, case management, and counseling for patients experiencing acute health conditions.
Collaborate with physicians, discharge planners, and treatment teams to develop personalized care transitions and minimize re-admissions.
Provide post-discharge follow-up, medication reconciliation, and education to ensure successful recovery.
Support members in accessing providers, community resources, and managing barriers to care.
Engage in face-to-face interventions when necessary and develop comprehensive care plans in partnership with providers and members.
Ensure compliance with HIPAA, regulatory standards, and uphold the highest confidentiality and professionalism.

Required Skills:

Current, active, unrestricted license as an LCPC, RN, or LMSW in Illinois (with reciprocity if applicable).
Minimum of 2 years of clinical experience and at least 1 year of managed care or health insurance experience.
Strong knowledge of medical management policies, procedures, and healthcare systems.
Excellent verbal and written communication skills paired with superior customer service and interpersonal abilities.
Proficiency with PCs and database systems.
Ability to work independently, prioritize tasks, and manage complex cases.
Willingness and ability to travel within the area as needed; valid driver’s license and reliable transportation required.

Nice to Have Skills:

Experience with multi-state licensing (for nursing licenses).
Familiarity with community-based resources, transportation services, and home health coordination.
Previous experience with transition of care services or patient education programs.
Additional certifications related to healthcare or managed care.

Preferred Education and Experience:

Bachelor’s degree or higher in a healthcare discipline.
At least two years of clinical experience, with a background in case management or care coordination preferred.

Other Requirements:

Willingness to attend onsite training in Downers Grove, IL.
Ability to occasionally travel for site visits or training sessions.
Maintain active licensure and stay current with ongoing training and professional development.