Training will be conducted remotely via WebEx
Candidate will travel approximately 75% of the time within the region seeing members at home or in supportive living facilities
Schedule- Monday - Friday; 8am - 5pm
Location: Candidates must reside: within Sangamon county IL or surrounding counties
Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
Conducts comprehensive evaluation of Members using care management tools and information/data review
Coordinates and implements assigned care plan activities and monitors care plan progress
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
Monitoring, Evaluation and Documentation of Care:
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
*Must have Case Management experience
*Must have degree in human services field, Bachelor's or non-licensed Master's level
*Possible experience in behavioral healthcare
*Case management and discharge planning experience preferred
*Managed Care experience preferred
*Microsoft Office experience preferred