Case Manager I (BEP Illinois)

Lancesoft; Palos Township (IL); Hybrid; USD 47,000 - 63,000; Full time

Job summary

Lancesoft is seeking a Case Manager I in Illinois for a hybrid role with up to 40% local travel. The position pays $40/hour on W2 and runs 03+ months with a Monday–Friday 8–5 schedule.

Responsibilities include member assessments, waiver processes, care plan development, and coordinating LTSS and behavioral health services with the care team.

Qualifications

• Must have at least 2 years health care experience, including at least 1 year with persons with disabilities/chronic conditions LTSS, and 1 year in care management, or equivalent combination of relevant education and experience.

Responsibilities

• Complete comprehensive member assessments within regulated timelines, including in-person home visits as required.
• Facilitate comprehensive waiver enrollment and disenrollment processes.
• Develop and implement care plans with members, caregivers, physicians and other health care professionals to address needs and goals.
• Monitor care plans to evaluate effectiveness, document interventions and goals.
• Promote integration of services including behavioral health care and LTSS and home/community resources.
• Assess medical necessity and authorize waiver services.
• Evaluate covered benefits and advise on funding sources.
• Facilitate interdisciplinary care team (ICT) meetings for approval/denial of services.
• Use motivational interviewing to educate, support and motivate change.
• Assess barriers to care and provide care coordination for psycho/social, financial, and medical obstacles.
• Identify critical incidents and develop prevention plans for member health and welfare.
• Collaborate with licensed care managers/leadership as needed.
• Travel may be 25-40% locally as required.

Skills

Healthcare experience

Care management

LTSS experience

Job description

Job Title: Case Manager I

Location: Hybrid, Collar, IL, 60185 (25-40% estimated local travel)

Duration: 03+ Months

Offered Rate: $40 hourly on W2

Schedule: M-F 8-5

Day to Day Responsibilities:

• 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 medical necessity and authorizes all appropriate waiver services.
• Evaluates covered benefits and advises appropriately regarding funding sources.
• Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration.
• Uses motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts.
• 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).

Must Have Requirements:

At least 2 years 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.