About this role
Role Overview
- Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel.
- Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
- Identifies and resolves barriers that hinder effective care.
- Plans and implement interventions to meet care needs.
- Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
- Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
- Guides members/families towards resources appropriate for their care.
Requirements
- Bachelor's degree in social sciences, social work, human services, or a related field
- An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience conducting comprehensive assessments and provision of formal services to elderly individuals.
- One (1) or more years of experience in health care and case management.
- One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and managed care organizations.
- Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook.
- Ability to use a variety of electronic information applications/software programs including electronic medical records.
- Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams.
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance