Care Coordinator III

## Care Coordinator IIIApply:
Remote-IL:
Full time:
Posted Today:
1658233
** Position

Purpose:

** Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.
** Key Details:
** This role will support our IL Health Plan Medicaid Youth Care program members. This position is fully remote/work from home with 10% travel to local office for quarterly team meetings.

Position requires a Bachelor's degree in nursing, social sciences, social work or related human services/social services field.

Applicants must reside in one of the following Illinois counties:
Cook, DuPage, Grundy, Kane, Kankakee, Kendall, Lake, McHenry, or Will.

The work schedule is Monday - Friday 8am - 5pm central time zone.
* Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
* Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
* Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
* Develops in-depth knowledge of care management services including responding to some complex or escalated issues
* Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care
* Performs service assessments/screening for members with some complex needs and documents the member’s care needs.
* Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
* Works with care management team with triaging, adjusting, and escalating complex requests to management
* Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
* Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager
* Provide education on benefits and resources available
* May assist with training and development needs
* Performs other duties as assigned.
* Complies with all policies and standards.
** Education/

Experience:

** Requires a High School diploma or GED.  Requires 2 - 4 years of related experience    
** License/Certification:
*** For Illinois Youth Care plan only:
Bachelor’s degree in nursing, social sciences, social work, or related field;
One (1) year of supervised clinical experience in a human-services field. Must reside in ILPay Range: $20.39 - $34.71 per hour