Job Description

Job Description

Job Description

Must-Haves

• Current Illinois license as one of the following:
• • Registered Nurse (RN)
  • Licensed Clinical Social Worker (LCSW/LCPC)
• Associate's Degree in Nursing or Master's Degree in Social Work/Mental Health Counseling
• Either:
• • 3+ years of RN/Behavioral Health Clinician experience, or
  • 1 year of RN/Behavioral Health experience plus 2 years working with complex populations
• Valid driver's license, reliable transportation, and auto insurance

Ideal Candidate: Experienced Care Manager or Home Health Nurse with strong care coordination experience.

Preferred Experience

• LTSS and Dual-Eligible populations
• Medicare/Medicaid managed care
• Population health or community health
• Behavioral health
• Complex care coordination
• Case Management Certification (CCM) preferred

Day-to-Day Responsibilities

The Clinical Care Manager is responsible for coordinating care and advocating for members with complex medical, behavioral health, and social needs. This role conducts comprehensive assessments, develops individualized care plans, and connects members to appropriate healthcare and community resources. The Care Manager collaborates with providers, interdisciplinary teams, and community partners to improve health outcomes and reduce barriers to care. Using clinical judgment, crisis intervention skills, and evidence-based guidelines, they support members through complex health challenges and promote engagement in their treatment plans. The position also focuses on quality improvement, regulatory compliance, and cost-effective care management. Success in this role requires strong clinical expertise, communication skills, and the ability to work independently while managing multiple cases.

Responsibilities include:

• Conducting in-home and community-based member visits
• Completing comprehensive assessments, functional assessments and/or UCA Assessments
• • UCA = Uniform Core Assessment
  • UCA used to be referred to as an MDS assessment

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