Case Manager-Medicare/Medicaid-Must be located in IL-Local Travel Joliet, IL Up to $38 an hour - Contract, Full-time Apply with Indeed Case Manager-Medicare Medicaid Healthcare Company Multiple opening across IL Candidates will have caseloads local to their area. Mainly telephonic/remote/work from home with some weekly local travel to members in homes and facilities as needed. 6-month contract, potential for extension Up to $38 an hour ($35 plus insurance) 8-5 CST-M-F Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Day-to-day Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. Facilitates comprehensive waiver enrollment and disenrollment processes. Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. Assesses for medical necessity and authorizes all appropriate waiver services. Evaluates covered benefits and advises appropriately regarding funding sources. Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. Identifies critical incidents and develops prevention plans to assure member health and welfare.

• Collaborates with licensed care managers/leadership as needed or required. 25-40% estimated local travel may be required (based upon state/contractual requirements).

Must Have Requirements:

At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. Demonstrated knowledge of community resources. Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. Ability to operate proactively and demonstrate detail-oriented work. Ability to work independently, with minimal supervision and self-motivation. Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. Ability to develop and maintain professional relationships. Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. Excellent problem-solving, and critical-thinking skills. Strong verbal and written communication skills. Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases Bachelor's or Associate's degree preferred #

ALLJ Pay:

Up to $38.00 per hour

Benefits:

401(k) Health insurance

Experience:

Behavioral health: 2 years (Required)

Healthcare:

2 years (Required)

Home Visiting:

1 year (Required) Willingness to travel: 25% (Required)

Work Location:

Remote