Case Management Coordinator - Field - Lake County Illinois
Core
Facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education through care management tools and resources.
Role type
Case Management Coordinator
Builds
Care plans and member support services
Domain
Health insurance / Behavioral health
Deliverable
client delivery
Required skills
Care coordination, Benefit plan evaluation, Risk factor identification, Care plan monitoring, Multidisciplinary consultation, Quality of care escalation, Negotiation, Motivational interviewing, Coaching, Regulatory compliance
Preferred skills
Discharge planning, Managed Care, Microsoft Office
Responsibilities
Conduct comprehensive evaluation of referred member's 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; Utilize negotiation skills to secure appropriate services; Provide coaching to empower members; Monitor care plan progress in compliance with guidelines.