Case Management Coordinator

ICONMA; Royal Hillsborough; On-site; GBP 60,000 - 80,000; Full time

Job summary

A healthcare solutions provider in Northern Ireland is seeking a skilled case manager to coordinate care for Medicaid Long Term Care enrollees. This role involves using critical thinking to facilitate healthcare outcomes and support members through care management tools. Candidates must possess a Bachelor's degree in social work or a related field and experience in case management. The position offers health benefits and opportunities for growth and advancement.

Benefits

Health Benefits

Referral Program

Excellent growth and advancement opportunities

Qualifications

• Experience in case management is required for this role.
• A degree in social work or a related field is mandatory.
• Long term care experience is preferred.

Responsibilities

• Coordinate case management activities for Medicaid enrollees.
• Conduct comprehensive evaluations using care management tools.
• Monitor care plan progress and implement assigned activities.
• Provide coaching and support to empower members.

Skills

Critical thinking

Case management experience

Negotiation skills

Motivational interviewing

Excel proficiency

Education

Bachelor's degree in social work or related field

Tools

Microsoft Office

Job description

Responsibilities

• Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees.
• Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
• Conducts comprehensive evaluation of Members using care management tools and information/data review
• Coordinates and implements assigned care plan activities and monitors care plan progress
• Conducts multidisciplinary review to achieve optimal outcomes
• Identifies and escalates quality of care issues through established channels
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
• Helps member actively and knowledgeably participate with their provider in healthcare decision-making
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Requirements

• Case management experience required
• Long term care experience preferred
• Microsoft Office including Excel competent
• Bachelor's degree required - No nurses. Social work degree or related field.

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.