Case Management Coordinator - Field (Cook County, IL)
Core
Facilitates healthcare outcomes for members by coordinating care plans, scheduling appointments, and assisting with benefit access and education.
Role type
Case Management Coordinator
Builds
Care management programs and member support services
Domain
Healthcare / Behavioral Health
Deliverable
client delivery
Required skills
Care plan coordination, benefit plan evaluation, high-risk factor identification, care plan monitoring, multidisciplinary case conference presentation, quality of care escalation, negotiation, motivational interviewing, coaching, regulatory compliance documentation
Preferred skills
Discharge planning, managed care experience
Technologies
Electronic documentation systems, Microsoft Office applications
Responsibilities
Conduct comprehensive evaluations of member needs and eligibility; identify high-risk factors and refer to clinical intervention; coordinate and monitor assigned care plan activities; consult with medical directors and supervisors to overcome care barriers; present cases at multidisciplinary conferences; negotiate services to meet member needs; coach members on healthy lifestyle choices; document care in compliance with regulatory guidelines.
Seniority
Mid-level, hands-on IC