Field Case Management Coordinator - Kankakee, Iroquois, Livingston, Ford or surrounding counties
$43,888–$93,579 year
On-siteChampaign, Illinois, United States or Bloomington, Illinois, United States
Job Summary
Conduct comprehensive evaluations of dual-eligible members' needs and eligibility using care management tools to recommend case resolution approaches. Identify high-risk factors and service needs, coordinating assigned care plan activities while monitoring progress and escalating quality issues through established channels. Utilize negotiation and motivational interviewing skills to secure appropriate services, empower members for independent lifestyle choices, and facilitate engagement with providers in healthcare decision-making. Present cases at multidisciplinary conferences to achieve optimal outcomes and provide peer mentoring to colleagues. Ensure all monitoring, evaluation, and documentation comply with regulatory guidelines and company policies. Requires a Bachelor's or Master's degree in behavioral health or human services, two years of relevant experience, and ability to travel within designated counties.
Required Qualifications
- Bachelor's degree or non-licensed master level clinician required
- Either degree being in behavioral health or human services (psychology, social work, marriage and family therapy, counseling)
- 2 years experience in behavioral health, social services or appropriate related field equivalent to program focus
- Ability to travel within a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs arise
- Proficiency with standard corporate software applications, including MS Word, Excel, Outlook and PowerPoint, as well as some special proprietary applications
- Efficient and Effective computer skills including navigating multiple systems and keyboarding
Desired Qualifications
- Case management and discharge planning experience preferred
- Managed Care experience preferred
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills
- Ability to work independently
- Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
- Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
- Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
- Engages with colleagues in ongoing team meetings and offers peer mentoring/training
- Helps member actively and knowledgably participate with their provider in healthcare decision-making
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
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