Case Manager

Integrated Resources, Inc ( IRI ); Illinois; Hybrid; USD 43,000 - 58,000; Full time

Job summary

Integrated Resources, Inc seeks a Care Coordinator to support LTSS members through remote and field visits in Illinois. This role follows a Monday–Friday 8 AM–5 PM CST schedule, with 25–40% local travel to deliver coordinated care.

You will assess members, develop and monitor care plans, and coordinate waiver enrollment with a multidisciplinary team to ensure high-quality, cost-effective care.

Qualifications

• 2+ years health care experience, including LTSS exposure and care management experience.
• Associate/Bachelor or Master degree required.
• Valid and unrestricted driver's license and reliable transportation.

Responsibilities

• Provide LTSS care coordination and care management support.
• Complete member assessments within required timelines; some home visits.
• Develop, implement and monitor waiver service plans with members and care networks.
• Coordinate waiver enrollment/disenrollment and collaborate with multidisciplinary teams.
• Promote integrated service delivery across behavioral health and LTSS.
• Travel 25-40% locally as required by state/contractual needs.

Skills

Care coordination

Healthcare experience

LTSS exposure

Disabilities/Chronic conditions

Driver's license

Education

Associate degree

Bachelor degree

Master degree

Job description

Schedule: Monday-Friday, 8 AM to 5 PM CST

Locations available for home visits: Remote + Field Visits anyone local to - (Cook County, Mclean County, Rockford, Peoria, Madison/St. Clair, or Champaign)

Pay Rate: $36.71/hr. on w2

Job Description:

• This is a remote position requiring home visits for members in the LTSS population.
• Provides support for care management/care coordination long-term services and supports (LTSS)-specific activities. Collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential.
• Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
• Completes comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitates comprehensive waiver enrollment and disenrollment processes.
• Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals.
• Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
• Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care.
• Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns.
• Identifies critical incidents and develops prevention plans to assure member health and welfare.
• Collaborates with licensed care managers/leadership as needed or required.
• 25-40% estimated local travel may be required (based upon state/contractual requirements).

Required Qualifications:

• At least 2 years of health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.
• Associate/Bachelor or Master degree required.
• Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance

Preferred Qualifications:

• Experience working with populations that receive waiver services