Medical Social Consultant (Care Coordinator)

University of Illinois Chicago; Peoria (IL); Hybrid; USD 52,000 - 63,000; Full time

Benefits offered by this job

Health insurance (medical)

Dental insurance

Vision insurance

Life Insurance

Retirement Plan

Paid Time Off

Tuition waivers

Job summary

University of Illinois Chicago seeks a Medical Social Consultant (DSCC Core/Connect Care) in Peoria, IL to provide care coordination for families eligible for specialized care programs. The role reports to regional management and requires adherence to contractual requirements and strong partnership development with families.

The position engages in comprehensive assessments, care planning, and monthly interactions, coordinating resources and services with MCO teams to support smooth transitions

Qualifications

• Master's degree from an accredited school or university in social or behavioral science or a related health specialty area.
• Current State of IL Licensure as a Licensed Social Worker or a Licensed Clinical Social Worker.
• Three (3) years (36 months) of progressively more responsible full-time experience in social work in a medical/clinical or social service agency setting.
• Illinois Residency is required within 180 days of employment.

Responsibilities

• Perform active care coordination by completing comprehensive health assessments and developing person-centered service plans.
• Monitor and update care plans at 30-day intervals and as needed.
• Conduct in-person visits at home, schools, or hospitals every 6 months or as needed.
• Document timely case records to ensure compliance.
• Engage in Medicaid managed care clinical rounds and multidisciplinary meetings as needed.
• Coordinate with providers, families, nursing agencies, and school teams for care planning.

Skills

Care coordination

Communication

Multidisciplinary collaboration

Education

Master's degree in social/behavioral sciences

IL Licensure as LSW or LCSW

Job description

Hiring Department: Division of Specialized Care for Children

Location: Peoria, IL USA

Requisition ID: 1042843

FTE: 1

Work Schedule: M-F, 8:00 AM - 4:30 PM

Shift: Days

# of Positions: 1

Workplace Type: Hybrid

Salary Range (commensurate with experience): $52,000.00 - 63,000.00 / Annual Salary

About The University Of Illinois Chicago

UIC is among the nation’s preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent “Best Colleges” rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.

This position is intended to be eligible for benefits. This includes Health, Dental, Vision, Life Insurance, a Retirement Plan, Paid time Off, and Tuition waivers for employees and dependents.

Position Summary

The DSCC Core/Connect Care (Consultant) provides care coordination services to families eligible for these two programs. Under the direction of the regional manager and assistant directors, the position is responsible for knowing and abiding by specific program contractual requirements. The Medical Social Consultant is expected to engage and develop strong partnerships with families through completing comprehensive assessments and person-centered care plans, monthly interactions, and coordination of resources.

Duties & Responsibilities

• Under the direction of the regional manager, performs active care coordination services by completing comprehensive health assessments, identifying families' strengths, and developing a person-centered service and care plan.
• Facilitates 30-day ( or as needed) monitoring of the person-centered care plan, assesses/determines status change, prioritizing unmet needs and location of resources.
• Conduct and document in-person visits at home (every 6 months or as needed) or in other appropriate settings like schools or hospitals.
• Completes consistent and timely documentation (within 48 hours) to ensure compliance case record compliance as established by procedures.
• Join and participate in Medicaid managed care clinical rounds occasionally.
• Join and participate in DSCC multidisciplinary meetings as needed.
• Engage as necessary with the transition of the care team to promote effective discharge planning.
• Educate, support, and connect families with resources for a seamless age transition.
• Provide close collaboration with MCO teams for those participants that are co-managed (e.g., waiver recipients).
• Arrange, lead, and contribute with areas of expertise to multi or interdisciplinary care team meetings with participants' providers, family members, nursing agencies, or school teams.
• Identify/escalate and facilitate internal team meetings on participants with complex behavioral/social determinants or clinical factors impacting their well-being.
• Identifies critical incidents and collaborates with all involved providers for resolution.
• May take the lead on the management of complex behavioral health individuals until the participant is stabilized or moved to a lower level of care coordination management.
• May manage clinically and socially complex caseload participants resulting from neglect or abuse allegations, illness progression, or caregivers' hardship.
• Utilize as necessary interpreter language line and accommodation resources based on the university's Americans with Disability Act (ADA) guidelines, such as American Sign Language (ASL).
• Utilize a culturally – competent approach as guided by the university to support families' cultural values and traditions.
• Active participation in post-records reviews and completion of recommended remediation within expected timeline.
• Contribute to quality improvement initiatives, including but not limited to attendance at quality huddles and provision of recommendations as needed.
• Assist families and caregivers with the coordination of medical services, required treatments, supplies/equipment, and environmental modifications.
• May support other licensed and unlicensed care coordinators in verifying and interpreting clinical conditions, treatments, mental or behavioral health diagnoses or concerns, guiding priorities on the person-centered care plan, and recommending resources.
• Assists families with private/public health insurance through effective benefits management practices for recipients.
• Identify financial needs and assist with the completion of DSCC financial application, and annual redetermination.
• Competent collection of documentation to support administrative/prior approvals for Core eligible services, and utilization of other resources like gift funds.
• Complies with the University, Division, and Regional Office policies, and procedures

Minimum Qualifications

• Master's degree from an accredited school or university in social or behavioral science or a related health specialty area.
• Based on institutional requirements for each position:
• Current State of IL Licensure as a Licensed Social Worker or a Licensed Clinical Social Worker.
• OR
• Three (3) years (36 months) of progressively more responsible full-time experience in social work in a medical/clinical or social service agency setting.

Illinois Residency is required within 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.