Case Management Coordinator - Field in Henderson, Hancock, Warren, or Knox County IL
Core
Facilitate appropriate healthcare outcomes for members by providing care coordination, support, and education through care management tools and resources.
Role type
Field-based Case Management Coordinator
Builds
Care plans and member engagement strategies for Long-Term Services and Supports (LTSS)
Domain
Health insurance / Behavioral health / Social services
Deliverable
client delivery
Required skills
Care coordination, Care plan implementation, Data review and evaluation, Negotiation, Motivational interviewing, Coaching, Regulatory compliance
Preferred skills
Discharge planning, Managed care experience
Technologies
Microsoft Office (Excel)
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; Provide coaching to empower members to make independent medical choices.
Seniority
Mid-level, hands-on IC