Care Coordinator - Disability

LOCATION

HEALTH PLAN SERVICES

COUNTY CARE - CLINICAL SERVICES

8:30 AM - 4:30 PM

UNION (SEIU 73)

The Care Coordinator
- Disability provides care coordination services for members with disabilities who need assistance to safely live in the least restrictive setting. The incumbent will have experience providing support to individuals with disabilities living in a community-based setting. The work requires conducting site visits in the members' home environment, developing care/service plans, regular monitoring, and periodic follow-up visits. The work requires the flexible use of a wide range of highly skilled psychosocial evaluation and intervention techniques to provide support and stabilization for members.

The Care Coordinator
- Disability is required to make referrals for community resources, and behavioral health services in order to assist members in maintaining health, safety, and independence through knowledge of social work principles, practices, and their application to complex care coordination.

• Visits members in the home to complete an assessment, develop a care/service plan that meets member needs and provide periodic follow-up; reviews risk scores, previous service/care plans, and/or medical records
• Verifies eligibility for waiver services
• Documents findings in the Care Management System
• Meets or exceeds timelines associated with case activities
• Provides succinct presentation of member, and solidifies plan of care with Interdisciplinary Care Team (ICT)
• Completes a member assessment according to department policy and procedure
• Develops and implements a member centered care plan that recognizes the patient's risk level, priorities, member preferences and medical needs based upon screening and assessment results
• Creates a service plan that reflects the needs identified during Determination of Need (DON) screening and is consistent with Department Rehabilitative Services policy
• Communicates effectively with Medical Home Team members and care providers to support coordinated integrated care
• Evaluates progress made towards agreed upon goals
• Schedules visits with member upon member request, a change in condition, new information or, as mandated by the waiver
• Provides information to support all service authorizations
• Refers patients to community based resources in order to maintain levels of wellness in the members community environment
• Initiates reporting and conducts necessary follow-up on mandated reporting (prevention and notification of abuse, neglect, and exploitation); documents findings in the Care Management System
• Utilizes evidence based practices for working with individuals with disabilities
• Participates in job specific (20 hours annually), CCH and departmental mandatory training
• Travels throughout the Cook County area

• Must be licensed in the State of Illinois in one (1) of the following qualificationsis required:
• Licensed Clinical Social Worker (LCSW)
• Licensed Clinical Professional Counselor (LCPC)
• Licensed Professional Counselor (LPC)
• OR
• A Bachelor's degree or higher in a Human Services related field from an accredited college or university (Must provide official transcript at time of interview).
• A minimum of two (2) years of experience providing services and support to community based persons with disabilities, is required.
• A minimum of one (1) year of care coordination experience, is required.
• Duties may involve travel to locations throughout the Cook County area, is required.

• Bilingual, is preferred

• Thorough knowledge of social work practices, procedures, and techniques; medical terminology and procedures; and mental health treatment services
• Skill in directing and evaluating the professional and administrative aspects of case management services
• Skill in conducting interviews
• Ability to plan, direct and evaluate the professional and administrative aspects of social work services
• Ability to communicate effectively verbally and in writing with a wide variety of lay and professional individuals and mentally ill patients
• Ability to provide direction and supervision to subordinate personnel and trainees
• Ability to formulate and develop social services procedures and standards
• Ability to partner with other team members effectively
• Ability to maintain the confidentiality of patient related materials in compliance with Health Insurance Portability and Accountability Act HIPA requirement
• Ability to travel…