Case Management Coordinator - Field (Westside Chicago, IL)
Core
Coordinate care plans and facilitate healthcare outcomes for members by evaluating needs, scheduling appointments, and accessing benefits.
Role type
Case Management Coordinator
Builds
Care plans and member engagement strategies
Domain
Healthcare / Behavioral Health
Required skills
Care plan coordination, benefit plan evaluation, care conference presentation, quality issue escalation, motivational interviewing, member coaching, regulatory compliance documentation
Preferred skills
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; Utilize negotiation skills to secure services; Provide coaching to promote lifestyle changes; Engage in team meetings and peer mentoring; Help members participate in healthcare decision-making; Monitor and document care in compliance with guidelines.
Seniority
Mid-level, hands-on IC