Case Management Coordinator - Field (DuPage, Kane, DeKalb, Kendall)
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, crisis intervention referral, quality of care monitoring, motivational interviewing, negotiation, electronic documentation, Microsoft Office
Preferred skills
Case management and discharge planning, Managed Care
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 to overcome barriers to care goals, escalate quality of care issues, secure appropriate services through negotiation, coach members on healthy lifestyle choices, engage in team meetings and peer mentoring, monitor care in compliance with regulatory guidelines
