Case Management Coordinator

Job Title:

Healthcare Consultant I Job Location:

McLean, De Witt, Macon, Champaign, Douglas, Shelby and surrounding counties.

Schedule :

M-F 8am-5pm

Pay Rate:

$ 28.00/ W-2 About Company Since its Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource.

CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.

Duties :

Evaluation of Members:

• Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.

Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate

• Coordinates and implements assigned care plan activities and monitors care plan progress .

Enhancement of Medical Appropriateness and Quality 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 achieve optimal outcomes
• Identifies and escalates quality of care issues through established channels
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
• Provides coaching, information and support to empower the member to makeongoing independent medical and/or healthy lifestyle choices
• Helps member actively and knowledgably participate with their provider in healthcare decision-making .

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.

Experience :

Case management experience preferred2 years experience in behavioral health, social services or appropriate related field equivalent to program focusManaged Care experience preferred

Education :

Bachelor's degree in behavioral health or human services

REQUIRED

(psychology, social work, marriage and family therapy, nursing, counseling, etc.) or non-licensed masters-level clinician. This job can be searched as Healthcare Consultant or Case manager or Long-term care coordinator, Care Coordinator , Care Manager (Non-RN focused), Case Worker, Health service coordinator .

Pay:

Up to $28.00 per hour

Benefits:

Dental insurance Vision insurance

Experience:

behavioral health, social services: 2 years (Required) Ability to

Relocate:

Bloomington, IL 61701: Relocate before starting work (Preferred)

Work Location:

In person