Care Coordinator

$56,925 - 65,463.75 / Yr.

Schedule : Monday - Friday; 8 : 00 am - 4 : 30 pm

Location : Rogers Park

The Care Coordinator will work directly with contracted MCOs to locate, engage, assess, and connect members to essential healthcare and supportive services. This includes assisting clients with Medicaid and SNAP applications, SOAR / SSA applications, nursing home referrals through Maximus, homemaker services, and other care coordination needs. As the first point of contact for many clients, the Care Coordinator will collaborate closely with teams through out the agency to provide responsive, in-person support and follow-through on client referrals.

This position plays a key role in monitoring and reporting metrics and outcomes, while ensuring care coordination standards are upheld across departments and programs within the organization. The Care Coordinator will deliver and support services that are client-centered, strengths-based, trauma-informed, and guided by a harm reduction approach-particularly for individuals with severe mental illness and co-occurring substance use disorders.

Responsibilities

• Liaison between Trilogy and MCOs to locate members disconnected with MCOs and treatment. Engage, assess, and connect them to necessary health care (e.g. review of claims if available)
• Prioritize clients in potential need of community-based care coordination with MCOs
• Conduct health assessments related to member's personal, medical, emotional, social, and environmental situation and make referrals to appropriate levels of care.
• Contact identified members to provide education on programs that will address their healthcare needs and linking them to needed community services. Engage members in discussion of adherence to personal health plans.
• Organize and direct care coordination efforts across departments and programs
• Assist clients with homemaker referrals, DON scores, Medicaid redeterminations, Medicaid and SNAP applications, SSA / SOAR applications, and make referrals for nursing home placement.
• Successfully complete SOAR Certification and provide SOAR support in SSA applications for disability across the agency.
• Connect clients to resources in the community related to their social determinants of health needs and support with entitlement applications and navigation as needed.
• Develop and maintain positive working relationships with partner organizations in Trilogy's Prime, MCO's, IHPA, and IHH
• Meet deliverables based on MCO care coordination contracts and complete required reporting.
• Attend inter-department team meetings as needed to gather information for care coordination purposes and ensure high quality service for clients
• Develop, implement, and track HEDIS measures across the organization.
• Maintain prior authorization, documentation, and ensure charting is in compliance with MCOs, Medicaid, state specific accreditation, and organization standards.
• Perform other job-related duties and / or projects as assigned.

Qualifications :

Benefits :

Equal Opportunity Employer

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