Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
This is a full-time telework position requiring 50-75% travel in the Metro East Regional counties, Illinois (Madison, St. Clair, Monroe, Clinton, Jersey, Calhoun, Macoupin, and Bond counties.)
The Case Management Coordinator utilises critical thinking and judgement to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources.
Responsibilities:
- Evaluate members' needs and eligibility, and recommend approaches to case resolution
- Identify high-risk factors and service needs that may impact member outcomes and care planning
- Coordinate and implement assigned care plan activities and monitor care plan progress
- Enhance medical appropriateness and quality of care through consultation with case managers, supervisors, and Medical Directors
- Identify and escalate quality of care issues
- Utilise negotiation skills to secure appropriate options and services
- Provide coaching and support to empower members to make independent medical and lifestyle choices
- Engage with colleagues in team meetings and offer peer mentoring
- Monitor, evaluate, and document care in compliance with regulatory guidelines and company policies
Required Qualifications:
- 2+ years experience in behavioural health, social services, or a related field
- Willingness to travel 50-75% of the time in the Metro East area of IL
- 2+ years of experience with electronic documentation and Microsoft Office applications
Preferred Qualifications:
- Case management and discharge planning experience
- Managed Care experience
Education:
- Bachelor's degree or non-licensed master level clinician in behavioural health or human services
The typical pay range for this role is: $21.10 - $44.99 per hour.
Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, and wellness programs.