Highlights
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 •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.
Numbers & Facts
| Location | Northern Kane/SE McHenry, IL |
| Industry | Staffing/Employment Agencies |
| Company Size | 2,000 to 2,499 employees |
| Year Founded | 2000 |
| Website | http://www.lancesoft.com/ |
Description
Job Title: Case Manager I
Location: Hybrid, Metro East: St Clair, IL (25-40% estimated local trave)
Duration: 03+ Months
Offered Rate: $40 hourly on W2
Schedule: M-F 8-5 CST
Day to Day Responsibilities:
•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
Location: Hybrid, Metro East: St Clair, IL (25-40% estimated local trave)
Duration: 03+ Months
Offered Rate: $40 hourly on W2
Schedule: M-F 8-5 CST
Day to Day Responsibilities:
•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
About Company
We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc).
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.