Trilogy
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Care Coordinator
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Trilogy The Care Coordinator will work directly with contracted MCOs to locate, engage, assess, and connect members to essential healthcare and supportive services. This includes assisting clients with Medicaid and SNAP applications, SOAR/SSA applications, nursing home referrals through Maximus, homemaker services, and other care coordination needs. The Care Coordinator will collaborate closely with teams throughout the agency to provide responsive, in-person support and follow-through on client referrals. This position plays a key role in monitoring and reporting metrics and outcomes, while ensuring care coordination standards are upheld across departments and programs within the organization. Responsibilities
Liaison between Trilogy and MCOs to locate members disconnected with MCOs and treatment. Engage, assess, and connect them to necessary health care. Prioritize clients in potential need of community-based care coordination with MCOs Conduct health assessments related to member’s personal, medical, emotional, social, and environmental situation and make referrals to appropriate levels of care. Contact identified members to provide education on programs that will address their healthcare needs and linking them to needed community services. Organize and direct care coordination efforts across departments and programs Assist clients with homemaker referrals, DON scores, Medicaid redeterminations, Medicaid and SNAP applications, SSA/SOAR applications, and make referrals for nursing home placement. Successfully complete SOAR Certification and provide SOAR support in SSA applications for disability across the agency. Connect clients to resources in the community related to their social determinants of health needs and support with entitlement applications and navigation as needed. Develop and maintain positive working relationships with partner organizations in Trilogy’s Prime, MCO’s, IHPA, and IHH Meet deliverables based on MCO care coordination contracts and complete required reporting. Attend inter-department team meetings as needed to gather information for care coordination purposes and ensure high quality service for clients Develop, implement, and track HEDIS measures across the organization. Maintain prior authorization, documentation, and ensure charting is in compliance with MCOs, Medicaid, state specific accreditation, and organization standards. Perform other job-related duties and/or projects as assigned. Qualifications
Master’s Degree in Social Work, Psychology, or Counseling required Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) required; Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) preferred Minimum one year of experience working with people with mental health and/or substance abuse diagnoses Valid Illinois driver’s license with daily access to a well-maintained vehicle with $100,000/$300,000 liability insurance IM+CANS certification required or must obtain IM+CANS certification within 30 days of hire date. Benefits
FREE Virtual Primary Care, Urgent Care, and Mental Health Counseling for ALL Employees PAID Maternity/Paternity leave Medical Insurance (BCBS of IL) Dental Insurance Vision Insurance Life Insurance Long-Term & Short-Term Disability Pet Insurance FSA (Health, Dependent Care, Transit) Telemedicine EAP 403(b) Retirement Plan with Employer Match
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Care Coordinator
role at
Trilogy The Care Coordinator will work directly with contracted MCOs to locate, engage, assess, and connect members to essential healthcare and supportive services. This includes assisting clients with Medicaid and SNAP applications, SOAR/SSA applications, nursing home referrals through Maximus, homemaker services, and other care coordination needs. The Care Coordinator will collaborate closely with teams throughout the agency to provide responsive, in-person support and follow-through on client referrals. This position plays a key role in monitoring and reporting metrics and outcomes, while ensuring care coordination standards are upheld across departments and programs within the organization. Responsibilities
Liaison between Trilogy and MCOs to locate members disconnected with MCOs and treatment. Engage, assess, and connect them to necessary health care. Prioritize clients in potential need of community-based care coordination with MCOs Conduct health assessments related to member’s personal, medical, emotional, social, and environmental situation and make referrals to appropriate levels of care. Contact identified members to provide education on programs that will address their healthcare needs and linking them to needed community services. Organize and direct care coordination efforts across departments and programs Assist clients with homemaker referrals, DON scores, Medicaid redeterminations, Medicaid and SNAP applications, SSA/SOAR applications, and make referrals for nursing home placement. Successfully complete SOAR Certification and provide SOAR support in SSA applications for disability across the agency. Connect clients to resources in the community related to their social determinants of health needs and support with entitlement applications and navigation as needed. Develop and maintain positive working relationships with partner organizations in Trilogy’s Prime, MCO’s, IHPA, and IHH Meet deliverables based on MCO care coordination contracts and complete required reporting. Attend inter-department team meetings as needed to gather information for care coordination purposes and ensure high quality service for clients Develop, implement, and track HEDIS measures across the organization. Maintain prior authorization, documentation, and ensure charting is in compliance with MCOs, Medicaid, state specific accreditation, and organization standards. Perform other job-related duties and/or projects as assigned. Qualifications
Master’s Degree in Social Work, Psychology, or Counseling required Licensed Social Worker (LSW) or Licensed Professional Counselor (LPC) required; Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) preferred Minimum one year of experience working with people with mental health and/or substance abuse diagnoses Valid Illinois driver’s license with daily access to a well-maintained vehicle with $100,000/$300,000 liability insurance IM+CANS certification required or must obtain IM+CANS certification within 30 days of hire date. Benefits
FREE Virtual Primary Care, Urgent Care, and Mental Health Counseling for ALL Employees PAID Maternity/Paternity leave Medical Insurance (BCBS of IL) Dental Insurance Vision Insurance Life Insurance Long-Term & Short-Term Disability Pet Insurance FSA (Health, Dependent Care, Transit) Telemedicine EAP 403(b) Retirement Plan with Employer Match
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