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
Behavioral health and human services
Deliverable
client delivery
Required skills
Care coordination, care plan implementation, member evaluation, benefit plan analysis, crisis intervention referral, quality of care monitoring, regulatory compliance documentation, negotiation, motivational interviewing, coaching, stakeholder consultation
Preferred skills
Discharge planning, managed care, Microsoft Office
Responsibilities
Conduct comprehensive evaluation of referred members' needs and eligibility; identify high-risk factors and service needs; coordinate and implement assigned care plan activities; consult with case managers, supervisors, and Medical Directors; present cases at conferences; escalate quality of care issues; secure appropriate options and services; provide coaching and support to empower members; utilize case management and quality management processes in compliance with guidelines.