Medicaid ACO Care Manager

Hybrid Temp to Hire, Medicaid ACO Care Mgr. RN/LPN/LSW/LCSW Chicago, IL

Our client, an ACO located on the near west side of Chicago, is seeking an experienced Medicaid ACO Care Manager (RN/LPN/LSW/LCSW).  The main purpose of this position is to provide a comprehensive assessment of patient risk and needs for education, discharge planning and resource needs during an episode of illness and across the continuum of care.   Experience with medical and behavioral health is required. This is a hybrid position; 3 days in office/2 days home)

Care Manager Job Responsibilities 

·        Creating and updating personalized care plans for patients.

·        Collaborating with patients' families/friends/social supports in developing treatment plans.

·        Identifying and recruiting high-quality healthcare providers.

·        Interacting with healthcare providers to facilitate patients' treatments.

·        Ensuring patients’ treatment requirements are met.

·        Suggesting alternative treatment plans service requests do not meet medical necessity criteria.

·        Educating patients on procedures, healthcare provider instructions and referrals.

·        Linking patients to social services programs i.e. transportation assistance and translation services.

·        Conducting regular follow-ups w/patients to evaluate progress, promote continuity of care and ensure improved health outcomes.

·        Maintaining records of case management activities.

Care Manager Requirements/Knowledge & Skills

·        Bachelor’s degree in social sciences, social work, nursing or a related field.

·        2+ years’ work experience in public health or related field (ideally in a Medicaid ACO or FQHC)

·        1+ years current case management experience.

·        RN, LPN, LSW or LCSW: Certified Case Manager (CCM) license preferred.

·        Some experience with mental health is a strong plus 

·        Highly proficient w/Healthcare Mgmt. systems such as MHNConnect & MS Office; especially Excel. 

·        High degree of creativity/problem-solving ability & patience in navigating complex systems of care

·        Ability to employ effective customer relationships with patients & healthcare team members

·        Ability to work independently & also as a team with a wide variety of individuals

·        Excellent oral, written, and interpersonal communication skills. 

·        Proficient computer skills & willingness to work some weekends 

If you or anyone you know is interested, qualified and currently seeking employment please send an updated resume and answers to the questions below to cjepsen@managedcarestaffers.com for immediate review and consideration.

Pre-Screening Questions

1. Which of the following IL Prof. licenses do you have?  RN, LPN, LSW, LCSW
2. Number of years’ experience in an FQHC, ACO, PHO or MCO as Care Manager?
3. Is a work location at Sinai Health on the near west side of Chicago a good location for you?
4. Do you understand this is a temp-to-hire position?
5. Are you Ok with hybrid position three days on site?
6. Have you used either Milliman or InterQual criteria?
7. What minimum hourly rate of pay do you expect?