Case Management Coordinator (Field) - (Metro East Counties, IL)
Core
Facilitates healthcare outcomes for members by coordinating care plans, scheduling appointments, and assisting with accessing benefits and education.
Role type
Case Management Coordinator
Builds
Care plans and member engagement strategies
Domain
Healthcare / Behavioral Health
Deliverable
client delivery
Required skills
critical thinking, judgment, care plan coordination, benefit plan evaluation, referral management, quality of care monitoring, negotiation, motivational interviewing, coaching, documentation
Preferred skills
case management, discharge planning, managed care
Technologies
electronic documentation systems, Microsoft Office
Responsibilities
Evaluate member needs and eligibility using care management tools; identify high-risk factors and refer to clinical case management; coordinate and monitor assigned care plan activities; consult with medical directors and present cases at conferences; escalate quality of care issues; secure appropriate services through negotiation; empower members to make independent healthcare choices; monitor and document care in compliance with guidelines.
Seniority
Mid-level, hands-on IC