Employer: University of Illinois – Chicago
Hiring Department: Division of Specialized Care for Children
Job Title: Care Coordinator Location: Rockford, IL
Additional Information: https://uic.csod.com/ux/ats/careersite/1/home/requisition/4070?c=uic
Description:
The DSCC Care Coordinator (Medical Social Associate) provides care coordination services to families eligible for DSCC programs. Under the direction of the regional manager and assistant directors, the position is responsible for knowing and abiding by specific program contractual requirements. The Medical Social Associate is expected to engage and develop strong partnerships with families through completing comprehensive assessments and person-centered care plans, monthly interactions, coordination of resources, and engagement with multiple stakeholders.
Duties & Responsibilities:
Under the direction of the regional manager, performs active care coordination services by completing comprehensive health assessments, identifying families' strengths, and developing a person-centered care plan.
Facilitates 30-day ( or as needed) monitoring of the person-centered care plan, assesses/determines status change, prioritizing unmet needs and location of resources.
Conduct and document in-person visits at home (every 6 months or as needed) or in other appropriate settings like schools or hospitals.
Completes consistent and timely documentation (within 48 hours) to ensure compliance case record compliance as established by procedures.
HC MSA will educate, support, and connect non-waiver families with resources for a seamless age transition. Similarly, provide age-transition support to waiver families exiting the program due to health improvement.
HC MSA will complete consistent and timely documentation (within 48 hours) to ensure compliance with waiver and non-waiver renewal requirements and timelines without direct manager support.
HC MSA will conduct and document in-person visits at home or other appropriate settings like schools or hospitals every 6 months or as needed according to federal waiver requirements.
Join and participate in Medicaid managed care clinical rounds, or other interdisciplinary care team meetings with participants’ providers, family members, or school teams.
Join and participate in DSCC multidisciplinary meetings as needed.
Engage as necessary with the transition of the care team to promote effective discharge planning.
Educate, support, and connect families with resources for a seamless age transition.
Provide close collaboration with MCO teams for those participants that are co-managed (e.g., waiver recipients).
Identify/escalate and facilitate internal team meetings on participants facing challenging behavioral/social determinants or clinical factors impacting their well-being. Identifies critical incidents and collaborates with all involved parts for resolution.
Utilize a culturally – competent approach as guided by the university to support families’ cultural values and traditions.
Utilize as necessary interpreter language line and accommodation resources based on the university’s Americans with Disability Act (ADA) guidelines, such as American Sign Language (ASL).
Complies with the University, Division, and Regional Office policies, and procedures.
Active participation in post-records reviews and completion of recommended remediation within expected timeline.
Contribute to quality improvement initiatives, including but not limited to attendance at quality huddles and provision of recommendations as needed.
Assist families and caregivers with the coordination of medical services, required treatments, supplies/equipment, and environmental modifications.
Assists families with private/public health insurance through effective benefits management practices for recipients.
Identify financial needs and assist with the completion of DSCC financial application, and annual redetermination.
Competent collection of documentation to support administrative/prior approvals for Core eligible services, and utilization of other resources like gift funds.
Perform other related duties and participate in special projects as assigned.
Qualifications:
Minimum Qualifications
-
- Bachelor's degree with a major in the social or behavioral science or related health specialty from an accredited college or university.
OR - Master's degree in social or behavioral science or related health specialty area from an accredited college or university.
- One (1) year (12 months) of progressively more responsible full-time experience in the practice of social services/ agencies or medical/clinical setting maintaining acceptable standards of social work practices
