Medical Social Consultant (Care Coordinator)

Medical Social Consultant (Care Coordinator) Location: Champaign, IL USA 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. 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. Conducts and documents 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. Joins and participates in Medicaid managed care clinical rounds occasionally. Joins and participates in DSCC multidisciplinary meetings as needed. Engages as necessary with the transition of the care team to promote effective discharge planning. Educates, supports, and connects families with resources for a seamless age transition. Provides close collaboration with MCO teams for those participants that are co-managed (e.g., waiver recipients). Arranges, leads, and contributes with areas of expertise to multi or interdisciplinary care team meetings with participants’ providers, family members, nursing agencies, or school teams. Identifies/escalates and facilitates 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. Utilizes 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). Utilizes a culturally-competent approach as guided by the university to support families' cultural values and traditions. Actively participates in post-records reviews and completion of recommended remediation within expected timeline. Contributes to quality improvement initiatives, including but not limited to attendance at quality huddles and provision of recommendations as needed. Assists 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. Identifies financial needs and assists with the completion of DSCC financial application, and annual redetermination. Collects documentation to support administrative/prior approvals for Core eligible services, and utilizes 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. 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. Benefits 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. Equal Opportunity Employer 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. The university provides accommodations to applicants and employees. Required Employment Notices 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. #J-18808-Ljbffr University of Illinois Chicago