-
Member Care Coordinator-Remote
3 weeks ago
HireOps Staffing LLC Chicago, United StatesMember Care Coordinator, contract to hire, FT, M-F · Work from home with field visits in assigned territory, mileage reimbursement provided. · This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health ...
-
Care Coordinator
1 week ago
Heartland Alliance Chicago, United StatesJob Title: Special Populations Care Coordinator · Locations: All Health Centers – 1015 W Lawrence|932 W Washington|5501 S Halsted · Business: Heartland Alliance Health · Program/Department: Primacy Care · Reports To: Firas Mahdi · Heartland Alliance Health's (HAH) mission is to t ...
-
Care Coordinator
1 week ago
Heartland Alliance Chicago, United StatesJob Description · Job DescriptionTitle: Bilingual Care Coordinator · Department: Oral Health Forum · Shift: FT/ 8:30AM - 5:00PM CST / M-F · Location: 110 W Cermak · *Bilingual-Spanish required position* · Heartland Alliance Health's (HAH) mission is to transform healthcare for th ...
-
Care Coordinator
2 weeks ago
Humana Chicago, United StatesBecome a part of our caring community and help us put health first · Humana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilita ...
-
Care Coordinator
1 day ago
AUNT MARTHAS HEALTH AND WELLNESS, Inc. Chicago, United StatesAunt Martha's Health and Wellness boldly commits to supporting the well-being of our communities, ensuring equity in access and delivering exceptional care inspired by a culture of innovation. We are taking a responsible approach to creating environments that allow us to do what ...
-
Care Coordinator
2 weeks ago
Heartland Alliance Chicago, United StatesJob Description Job Description Job Title: Special Populations Care CoordinatorLocations: All Health Centers 1015 W Lawrence|932 W Washington|5501 S HalstedBusiness : Heartland Alliance HealthProgram/Department : Primacy CareReports To: Firas MahdiHeartland Alliance Healths (HAH) ...
-
Care Coordinator
1 day ago
AltaStaff Chicago, United StatesJob Position: Bilingual Care Coordinator · Location: Chicago, IL 60608 · Pay Rate: $20.00/hr /hour · ***Interested candidates must be Bilingual fluent in both English and Spanish*** · Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of m ...
-
Care Coordinator
2 weeks ago
Metropolitan Family Services Chicago, United StatesMetropolitan Family Services empowers families to learn, to earn, to heal, to thrive. Part mentor, part motivator, part advocate, since 1857, Metropolitan Family Services (MFS) has been the engine of change that empowers families to reach their greatest potential and positively i ...
-
Care Coordinator
2 weeks ago
Saint Anthony Hospital Chicago, United StatesSaint Anthony Hospital is a diverse and community-centric organization your career can thrive in, while addressing the health and wellness challenges that families in our neighborhood face. Our employees deliver on our mission and achieve success by working together to provide ex ...
-
Care Coordinator
1 day ago
CenterWell Home Health Chicago, United StatesBecome a part of our caring community and help us put health firstHumana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitate i ...
-
Care Coordinator
2 weeks ago
AUNT MARTHAS HEALTH AND WELLNESS INC Chicago, United StatesJob Description · Job DescriptionAunt Martha's Health and Wellness boldly commits to supporting the well-being of our communities, ensuring equity in access and delivering exceptional care inspired by a culture of innovation. We are taking a responsible approach to creating envir ...
-
Care Coordinator
5 hours ago
Cook County, IL Chicago, United StatesLOCATION: Health Plan Services - 4896 · SHIFT: 8:30AM - 4:30PM · Job Title Department · Care Coordinator - Elderly Health Plan Services · SEIU 73 · Job Summary · The Care Coordinator - Elderly provides care coordination services for elderly or disabled members who need assistance ...
-
Care Coordinator
1 day ago
LSSI Chicago, United StatesLutheran Social Services of Illinois is a not-for-profit social service agency with more than 70 program sites throughout the state of Illinois. Our services include counseling, mental health, substance abuse treatment, housing, work with prisoners and their families and services ...
-
Care Coordinator
1 day ago
Humana Chicago, United States**Become a part of our caring community and help us put health first** · Humana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members and families towards resou ...
-
Care Coordinator
1 week ago
Lutheran Social Services of Illinois Chicago, United StatesLutheran Social Services of Illinois is a not-for-profit social service agency with more than70 program sites throughout the state of Illinois. Our services include counseling, mental health, substance abuse treatment, housing, work with prisoners and their families and services ...
-
Care Coordinator
2 weeks ago
Heartland Alliance Chicago, United StatesJob Description · Job Description · Job Title: · Special Populations Care Coordinator · Locations: · All Health Centers – · 1015 W Lawrence|932 W Washington|5501 S Halsted · Business : Heartland Alliance Health · Program/Department : Primacy Care · Reports To: · Firas Mahdi ...
-
Care Coordinator
1 day ago
Cook County, IL Chicago, United StatesLOCATION: MANAGED CARE - 4896 · SHIFT: 8:30 AM - 4:30 PM · SEIU -73 · Job Title Department · Care Coordinator - HIV/AIDS CountyCare · Job Summary · The Care Coordinator- HIV/AIDS provides care coordination services for members with HIV/AIDS who need assistance to safely live in t ...
-
Care Coordinator
2 weeks ago
Heartland Alliance Chicago, United StatesJob Description · Job DescriptionJob Title: Special Populations Care Coordinator · Locations: All Health Centers – 1015 W Lawrence|932 W Washington|5501 S Halsted · Business: Heartland Alliance Health · Program/Department: Primacy Care · Reports To: Firas Mahdi · Heartland Allian ...
-
Care Coordinator
15 hours ago
CenterWell Home Health Chicago, United StatesBecome a part of our caring community and help us put health first · Humana Gold Plus Integrated is seeking Care Coordinators to assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitat ...
-
Care Coordinator
2 weeks ago
Norwegian American Hospital Chicago, United StatesProvide face-to-face substance abuse psychosocial assessmentsDaily review and update of completing assessments, and other duties assigned by program directorFacilitate patient referrals for additional services consistent with assessed needs and physician recommendation.Meet patie ...
Member Care Coordinator-Remote - Chicago, United States - HireOps Staffing LLC
Description
Member Care Coordinator, contract to hire, FT, M-FWork from home with field visits in assigned territory, mileage reimbursement provided.This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
ESSENTIAL FUNCTIONS:
1. Responsible for home health assessments and system updates.2. Perform outreach and follow up attempts to members on their health care plan.3.
Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise.4.
Inform and educate members on their program, may use supplied scripts. Complete records in system by performing data entry. Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation). Generate appropriate correspondence and send to member manually, electronically, or telephonically.5. Conduct check-ins with members to review individual care plan goals.6. Maintain production requirements based on established department business needs.7.Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.8.
Receive, analyze, conduct research and respond to telephone and/or written inquiries. Process information from member or provider to determine needs/wants and ensure customer questions have been addressed. Respond to customer or send to appropriate internal party.9. Notify help desk of system issues.10. Perform data entry function to update customer or provider information.11. Obtain required or missing information via correspondence or telephone.12.May serve as contact for the various groups regarding claims which involves conducting research, obtaining medical records/letters of medical necessity from TMG, reopen or initiate new cases as needed and refer case to clinicians.13.
Support and maintain communications with various in-house areas regarding groups' concerns, i.e:
Marketing, Provider Affairs, and SSD.14. Communicate and interact effectively and professionally with co-workers, management, customers, etc.15. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.16. Maintain complete confidentiality of company business.17. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
JOB REQUIREMENTS:
Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
PC proficiency including Microsoft Office applications & Computerize chartingCustomer service skillsVerbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issuesCurrent state driver license, transportation, and applicable insuranceAbility and willingness to travel#J-18808-Ljbffr