Licensed Social Worker

Randstad USA; Illinois City (IL); Hybrid; USD 60,000 - 85,000; Full time

Benefits offered by this job

Medical

Dental

Vision

401K

Job summary

Randstad USA is hiring a Licensed Social Worker Case Manager in Illinois for a hybrid role, with travel to Quad City/Rock Island area. Mileage is reimbursed.

The position requires active IL licensure, 2+ years in case management, and proficiency with Microsoft Office and electronic health records. Travel up to 75% and reliable transportation are expected.

Qualifications

• Must have an active IL license or certification in a healthcare related field.
• Minimum of two years of case management experience.
• Willing and able to travel up to 75% of their time to meet with members face to face.

Responsibilities

• Evaluate members' needs and eligibility and recommend an approach to case resolution.
• Identify high risk factors and referral to case management or crisis intervention as appropriate.
• Coordinate and monitor care plan activities and progress.
• Consult with case managers, supervisors, Medical Directors to overcome barriers and present cases for review.

Skills

Case management

Microsoft Office

Electronic Health Records

Communication skills

Tools

EHR systems

MS Office

Job description

Market leading healthcare organization is hiring for a Licensed Social Worker Case Manager in IL. This is a hybrid role working from home and traveling in the field in the Quad City/Rock Island, IL area (mileage is reimbused)!

Duties:

Evaluation of Members:

• Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and available internal aid and external programs/services.
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgeably participate with their provider in healthcare decision-making.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Requirements:

• Must have an active IL license or certification in a healthcare related field
• Must reside in the state of Illinois in Quad City Area/Rock Island Illinois area
• Valid Illinois Driver's license
• Willing and able to travel up to 75% of their time to meet with members face to face
• Reliable Transportation required, eligible for mileage reimbursement as per company policy.
• Minimum of two (2) years of case management experience
• Microsoft Office and electronic health record experience

Schedule: Monday-Friday 8am-5pm CST

Potential for long term based on performance!

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants.

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc.

In addition, Randstad offers a comprehensive benefits package, including:

• medical
• prescription
• dental
• vision
• AD&D
• life insurance offerings
• short-term disability
• 401K plan

(all benefits are based on eligibility).

This posting is open for thirty (30) days.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.