Care Manager

Care ManagerAs a Care Manager, you will coordinate person-centered care for members with complex medical, behavioral health, functional, and social needs. You will complete assessments, develop and monitor care plans, coordinate healthcare and community-based services, address barriers, and support successful transitions to and stability in community settings. Working with members, families, providers, and community partners, you will promote member choice, independence, dignity, and progress toward individual goals.The Illinois Tailored Care Management Program helps individuals with complex health and social needs transition from nursing facilities and Specialized Mental Health Rehabilitation Facilities (SMHRFs) to community-based living. Through person-centered care management and coordinated support services, the program empowers members to live more independently and thrive in their communities.What You'll Do:Complete comprehensive assessments of members' medical, behavioral health, functional, medication, housing, transportation, social support, and other health-related social needsDevelop and update individualized care plans based on member goals, preferences, strengths, risks, and identified needsEngage members and authorized representatives in care planning, education, and informed decision-makingCoordinate healthcare, behavioral health, housing, transportation, benefits, social services, and community-based supports with providers and partnersPlan and support transitions from institutional, inpatient, residential, or other higher-acuity settings to community-based care, including appointments, medications, equipment, and servicesIdentify and resolve transition barriers, coordinate continuity of care, and provide follow-up to support community stabilityMaintain regular member contact, provide education on available services and benefits, and monitor progress toward care plan goalsDocument assessments, care plans, contacts, transition activities, barriers, interventions, and outcomes accurately and on time while meeting caseload expectationsEscalate unresolved clinical, behavioral health, housing, transportation, safety, or access barriers and participate in interdisciplinary case reviews and transition meetingsMeet quality, documentation, productivity, member engagement, and transition performance standardsComplete required training, competency validation, quality improvement, and corrective action activitiesMaintain required licensure, credentials, and knowledge, and perform other duties as assigned.Required Skills and Experience:Registered nurse (RN), occupational therapist (OT), or clinician with a master's degree in counseling, social work, psychology, or a closely related fieldActive Illinois professional license in good standingValid driver's license and ability to travel locally up to 100%Preferred Skills and Experience:Experience in human services and working with individuals with serious mental illness and complex medical needsQualified Intellectual Disability Professional (QIDP) experienceBilingual proficiency in English and Spanish$85,000 - $105,000 a year