Case Manager I (BEP Illinois)

Job Title: Case Manager I
Location: Hybrid, Collar, IL, 60185 (25-40% estimated local travel)
Duration: 03+ Months
Offered Rate: $40 hourly on W2
Schedule: M-F 8-5
 
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 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.