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Mercyhealth Wisconsin and Illinois
Overview
The Care Coordinator performs comprehensive assessments in homes or facilities to determine service needs, administers required exams like MMSE and DON, and creates tailored care plans for participants and caregivers. They are responsible for authorizing services, coordinating referrals, completing necessary documentation like Medicaid applications, and ensuring services remain appropriate through timely follow-up and redeterminations.
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Compensation
$19 - $31 / HOUR
Posted
17 days ago
Partners Behavioral Health Management
Facilitate the review of service plans and authorization requests to ensure individuals receive appropriate services. Screen requests for completeness, apply auto-approval algorithms, and refer complex cases to licensed reviewers.
Salary not listed
1 month ago
Facilitates the review of service plans and authorization requests to ensure individuals receive appropriate services. Responsibilities include screening requests for completeness, auto-approving based on algorithms, and referring complex cases for medical necessity review.
UPMC
Provide individual and group therapy while offering social work support to patients and families within an oncology setting. Participate in treatment team meetings, maintain clinical documentation, and develop evidence-based treatment plans.
Children's Network of Hillsborough
The Utilization Management Specialist acts as a liaison between case management organizations and service providers to facilitate the identification and provision of services for children and families. They are responsible for processing service authorizations, tracking referrals, and maintaining accurate client records to ensure efficient resource management.
$24 / HOUR
National Counseling Group (NCG)
The Clinical Assessment Specialist conducts comprehensive needs assessments and manages intake documentation within the Electronic Health Record system. They also coordinate services with external providers and MCOs to facilitate service authorizations and ensure client care continuity.
$375 / DAY
2 months ago
ncgCARE
The Clinical Assessment Specialist conducts comprehensive needs assessments and manages intake documentation within the electronic health record. They also coordinate services with external providers and facilitate the service authorization process.
Vituity
The Clinical Care Coordinator facilitates efficient department flow by managing patient check-in/check-out, coordinating referrals, handling administrative tasks, and responding to patient needs like call lights and comfort items. They also assist with patient transport, vital signs, and ensuring necessary supplies and room cleaning are managed.
Alternatives in Psychological Consultation
The Care Coordinator initiates contact with referred adult members (18+) of Comprehensive Community Services, building rapport using a strength-based, trauma-informed, and culturally sensitive approach while facilitating all aspects of service planning as outlined in DHS 36. Responsibilities also include ensuring coordinated, monitored service delivery designed to support member independence, assisting with self-advocacy, and coordinating crisis services.
RHA Health Services, LLC
Responsibilities include providing individual sessions to explore goals, treatment plans, and measuring completion, as well as conducting utilization reviews to determine service eligibility and discharge. The role also involves developing person-centered treatment plans and providing therapeutic interventions in individual, family, and group counseling sessions.
Lifescape Community Services
The Case Manager/Care Coordinator assesses, authorizes, and manages Community Care Program (CCP) services while providing ongoing case management to eligible participants across four counties. This role involves conducting community-based assessments, developing Person-Centered Plans of Care, arranging service implementation with vendors, and ensuring compliance with Illinois Department on Aging regulations.
WESTERN RESERVE AREA AGENCY ON AGING
The Service Coordinator evaluates assessment data to determine ongoing care needs and coordinates and authorizes all waiver services for assigned members in community-based waiver programs. Duties include completing required assessments, developing and implementing waiver services care plans, and collaborating with various agencies to ensure member eligibility and service provision.
$48,000 - $58,000 / YEAR
3 months ago
CareStar, Inc.
The Care Coordinator will assess individual needs, develop personalized care plans, and connect clients with essential services and supports while approving funds for service utilization based on program requirements. Responsibilities also include completing home visits, monitoring services, and functioning as the team leader for care plan implementation.
CareSource
The Nurse Care Manager provides care coordination including in-home assessment, planning, facilitation, advocacy, and authorization of covered plan services to meet member health needs while promoting quality cost-effective outcomes. This involves ensuring consistent care across the continuum, collaborating with various stakeholders, and assessing members for ongoing eligibility for services.
$100,000 - $160,000 / YEAR
The Case Manager will conduct face-to-face eligibility evaluations, develop personalized, person-centered care plans, and coordinate services across medical, behavioral health, and community systems. Responsibilities also include assisting individuals in accessing Medicaid and monitoring service delivery to ensure compliance.