Salary
💰 $55,100 - $99,000 per year
About the role
- Performs care management duties to assess, plan and coordinate medical and supporting services across the continuum of care for post-discharge members
- Completes medication review for pre-admission and post-discharge reconciliation
- Works with care management and coordination teams to identify transition support services
- Evaluates member needs by completing post-discharge assessments for members transitioning from healthcare facilities
- Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs
- Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions
- Facilitates the transition into active care management based on member needs
- Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness
- Facilitates services between PCPs, specialists, medical providers, and non-medical resources as necessary
- May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
- Collects, documents, and maintains all member information and care management activities to ensure compliance with regulations
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery
- Other duties as assigned
Requirements
- Requires a Master's degree in Behavioral Health or Social Work OR a Degree from an Accredited School of Nursing
- 2–4 years of related experience (minimum 2 years)
- LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required
- Preference for applicants who reside in Illinois
- Preference for applicants with an active Illinois registered nurse (RN) credential
- Professional experience in service coordination, case management, discharge planning, community advocacy, or transition of care (preferred)
- Ability to perform telephonic, digital, home and/or other site outreach (implied)