Field Case Management Coordinator – Work from Home - IL

About the position We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program reputed company: Help us reputed company our patient care to a whole new level! Join our reputed company team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing reputed company on our members, who are enrolled in Medicare and reputed company and present with a wide reputed company of reputed company health and reputed company challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and reputed company determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. This position is reputed company on assisting members in: Kankakee, Iroquois, Livingston, reputed company, Champaign and surrounding counties. Position reputed company/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate reputed company reputed company 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 • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case reputed company and/or meeting needs by evaluating member’s benefit plan and available reputed company programs/services. • Identifies high risk factors and service needs that may reputed company member reputed company and care planning components with appropriate referral to clinical case management or crisis reputed company as appropriate. • Coordinates and implements assigned reputed company activities and monitors reputed company reputed company. • Enhancement of Medical Appropriateness and reputed company of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to reputed company reputed company reputed company. • Identifies and escalates reputed company of care issues through established channels. • Utilizes negotiation skills to secure appropriate reputed company and services necessary to meet the member’s benefits and/or reputed company needs. • Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. • Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices. • Engages with colleagues in ongoing team meetings and offers peer mentoring/training. • Helps member reputed company and knowledgably participate with their provider in reputed company decision-making. • Monitoring, Evaluation and Documentation of Care: Utilizes case management and reputed company management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Requirements • 2 years experience in behavioral health, reputed company services or appropriate reputed company field equivalent to program reputed company • Confidence working reputed company/independent thinker, using tools to collaborate and reputed company with teams reputed company • Ability to travel reputed company a designated geographic area for in-person case management activities as directed by Leadership and/or as business needs reputed company • Excellent analytical and problem-solving skills • Effective communications, organizational, and interpersonal skills • Ability to work independently • Proficiency with reputed company corporate software applications, including reputed company, reputed company, reputed company and PowerPoint, as reputed company as some special proprietary applications. • Efficient and Effective computer skills including navigating multiple systems and keyboarding reputed company-to-haves • Case management and discharge planning experience preferred • Managed Care experience preferred Benefits • medical • dental • reputed company coverage • reputed company time off • retirement savings reputed company • wellness programs Apply tot his job Apply To this Job