Case Manager I

Job description

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $50,000.00 - $55,000.00 SalaryJob Category: Medical Management POSITION SUMMARY: The Case Manager I position will have a full understanding of the Enhanced Case Management (ECM) suite of strategies and supports the Enhanced Care Advocate and ECM team. The Specialist will primarily focus on vendor, carrier, and Center for Medicare and Medicaid Services (CMS), and member communication for purposes of case evaluation, appropriate referral making and determining impacts. ESSENTIAL FUNCTIONS: Review clinicals, claims and baseline case information for health scenarios such as Behavioral, Wellness, and Specialty Prescription, Maternity etc. Develop strategic, initiative care plans to support members with varying health scenarios by connecting them to specialized vendor partners and Allied Care Clinicians that can facilitate the needs of the member. Implement the care plan by coordinating with the member, client, Allied staff and/or the various specialized vendor partners. Work closely with the Clinical Case Management team and other Case Managers to obtain clinical information needed t...