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.
Requirements summary
Case Managers require a minimum of one year of experience in needs assessment and care planning, along with either an RN/BSN or a BA/BS degree in a social science field. Alternatively, LPNs with one year of program experience or individuals with extensive program experience may substitute for some college education requirements.
bachelor degreeprofessional certificateAdvocacyCare PlanningDocumentationDrivingOn-Call DutiesInterventionReferral CoordinationCPR/BLS CertificationMedicaid ApplicationsComprehensive AssessmentsService AuthorizationRedeterminationsMini Mental Status Exam (MMSE)Determination of Need (DON)Choices for Care Assessments
Job description
OVERVIEW Help older adults and their families access community resources and long-term care services by conducting in-home assessments, developing individualized care plans, coordinating services, and determining program eligibility. This role serves as an advocate for participants, monitors changing needs, assists with Medicaid and other benefit programs, and helps ensure clients receive the support needed to remain safe and independent.
Schedule
40-hours per week
Shift:
Days
Location: Mercyhealth Physician Clinic—Rockton,
Rockford,
IL
Pay
Range: $19.14 - $30.63 ESSENTIAL DUTIES AND RESPONSIBILITIES Performs comprehensive assessments in the participant’s home or health care facility to assess need for community services. Determines eligibility for CCP, accurately administers and scores Mini Mental Status Exam (MMSE) and Determination of Need (DON) and collects needed financial information. Creates a care plan to meet the needs of the participant and caregiver. Demonstrates ability to authorize CCP services and coordinate referrals to other benefits/services available to the participant. Completes Choices for Care assessments for Nursing Home or Supportive Living Facility placement Demonstrates knowledge of the various types of assessments, billing codes and documentation required. Accurately completes Medicaid applications when indicated. Advocates, intervenes and follows-up in a timely manner to ensure services remain in place and are appropriate to the changing needs of the participant. Documents and completes follow-up on critical events. Updates care plan and completes redeterminations as needed. Meets established timelines for assessments and critical event follow-up. Rotates weekend on-call duties as required by IDOA for weekend assessments. Completes paperwork timely and accurately. Responds to participant/family inquires and phone calls in a timely manner. Participates in departmental and all-agency staff meetings; offers constructive input to the group. Completes annual educational requirements for IDOA and Mercyhealth. Requirements Case Manager minimum qualifications shall be a minimum of 1 year experience in needs assessment and care planning, and: RN or a BSN, or have a BA/BS degree in social science, social work or related field One year of program experience (defined as assessment, provision, and/or authorization of formal services), may replace one year of college education up to and including four years of experience replacing a baccalaureate degree; or LPN with one year of program experience which is defined as assessment of and provision of formal services and/or authorizing service provision. Approved CPR or BLS certification required within 90 days Successfully complete IL Department on Aging Care Coordinator Certification Maintain a valid driver’s license and reliable transportation with proof of vehicle insurance when requested. Have and maintain an acceptable driving record per Mercy’s HR-01 Fleet Safety policy.
Benefits
Medical
Dental
Vision
Paid Time Off
On-Demand Pay
Employee Discounts
Well-being Programs
Life & Disability Insurance
Paid Parental And Caregiver Leave
Financial Education
FSA/HSA Options
Tuition And Certification Reimbursement
Annual Recognition/Awards Events
Partner Appreciation Days
Family Entertainment/Attractions Discount
Career Advancement And Educational Opportunities
Community Service/Improvement Opportunities
PAY
RANGE: $19.14 - $30.63 Mercyhealth is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identify, national origin, disability, or protected veteran status. Mercyhealth offers competitive pay and a comprehensive benefits package including: Medical, Dental, Vision Life & Disability Insurance FSA/HSA Options Generous, accruing paid time off Paid Parental and caregiver leave Career advancement and educational opportunities Tuition and certification reimbursement Certification Reimbursement Well-being Programs Employee Discounts On-Demand Pay Financial Education Annual recognition/awards events Partner appreciation days Family entertainment/attractions discount Community service/improvement opportunities Click here for more details regarding Mercyhealth Careers Benefit Information. At Mercyhealth, we don’t simply hire people, we empower employee-partners who are passionate about making lives better. As an integrated health system, we deliver exceptional, coordinated across seven hospitals, 85 primary and specialty clinics, and a team of over 7,500 professionals serving northern Illinois and southern Wisconsin. Mercyhealth has been nationally recognized for our commitment to our people and culture, including: #1 in the nation on AARP's Best Employers for Workers Over 50 One of Working Mother magazine's 100 Best Companies for Working Mothers A Top 50 Company and Top 10 Nonprofit for Executive Women For over 135 years, Mercyhealth has provided high-quality health care to residents throughout northern Illinois and southern Wisconsin. We have a passion for providing comprehensive health care close to home for area residents through our six hospitals and 85 primary and specialty care locations. As an integrated health system, you can come to us for routine health care, like annual physicals, immunizations and preventive health screenings, as well as highly specialized care, such as neonatal intensive care, heart surgery, stroke care, neurosurgery, cancer treatment and much more. The range of Mercyhealth's specialties and the skills of our doctors, nurses and clinical staff are truly extraordinary.
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