Case Management Coordinator (Field) - (Metro East Counties, IL)
Core
A Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education, and coordinating care plan activities.
Role type
Case Management Coordinator
Builds
Care plans and member engagement strategies
Domain
Health insurance / Behavioral health
Deliverable
dashboards & analysis
Required skills
Critical thinking, Judgment, Care management tools, Electronic documentation, Microsoft Office, Negotiation, Motivational interviewing, Coaching
Preferred skills
Case management and discharge planning experience, Managed Care experience
Responsibilities
Evaluate member needs and eligibility, Identify high risk factors and service needs, Coordinate and implement assigned care plan activities, Consult with case managers and medical directors to overcome barriers, Escalate quality of care issues, Secure appropriate options and services, Provide coaching to empower members, Engage in team meetings and peer mentoring, Monitor and document care in compliance with guidelines