Case Management Coordinator - Field (Winnebago, Boone, and McHenry Counties)
Core
Coordinate care plans and facilitate healthcare outcomes for dual-eligible members with complex health and social challenges by scheduling appointments, accessing benefits, and collaborating with providers and community organizations.
Role type
Field Case Management Coordinator
Builds
Care plans and member engagement strategies for Medicare/Medicaid dual-eligible populations
Domain
Healthcare / Social Services / Behavioral Health
Deliverable
client delivery
Required skills
Care plan coordination, appointment scheduling, benefit access navigation, data evaluation, negotiation, motivational interviewing, quality monitoring, documentation
Preferred skills
Case management, discharge planning, managed care, bilingualism
Technologies
Excel, Microsoft Word
Responsibilities
Evaluate member needs and eligibility to recommend case resolution approaches; identify high-risk factors and refer to clinical intervention; coordinate and monitor assigned care plan activities; consult with multidisciplinary teams to overcome care barriers; escalate quality of care issues; negotiate services to meet member needs; coach members on independent medical and lifestyle choices; monitor and document care in compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC
