OFallon, Missouri
Posted: 05-Feb-26
Location: Chicago, Illinois
Categories:
Internal Number: 00138455
PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and SEIU 73. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants
LOCATION: Harrison Square
DEPARTMENT: Managed Care
SHIFT: 8:30 AM - 4:30 PM
PAY RANGE: $39.619 - $47.813 HOURLY
Salary is commensurate with years of experience indicated at time of application submittal. Experience not disclosed or documented at the time of application will not be considered for initial step placement.
JOB Summary
The Community Based Social Work Care Coordinator (CBSWCC) supports the provision of care coordination in a manner that recognizes the Enrollee and the medical home care teams as essential partners in the Enrollee's care. These services are offered at the Enrollee's home, physician office, and/or other health care facilities. If it is determined the Enrollees care is medically complex the CBSWCC collaborates with a nurse in the provision care coordination. Completes assessments of complex health care needs and/or the presence of social determinants that impact the provision of care. Collaborates with Enrollee and medical home care team to develop and implement a care plan that mitigates barriers and links Enrollees of any risk levels to appropriate resources. The CBSWCC works across sites of care and with multiple disciplines to achieve the desired outcomes for the Enrollees.
Typical Duties
- Uses all available information sources to support care coordination activities-this may include portals, electronic medical records, claims data, plan information, utilization management information, and Milliman Care Guidelines (MCG).
- Completes screenings, assessments and care plan in accordance with contractual requirements and Care Coordination policy and procedure.
- Integrates information from claims review, notes, screenings, assessments and Medical Home teams in care plan.
- Tracks patient progress regarding goal achievement on the care plan.
- Updates documents based on Enrollee progress, changes in priorities, changes in health status or new information.
- Supports care coordination referrals from multiple sources including Enrollee request, plan referrals, medical home referrals, grievances, data reports or changes in risk score.
- Provides relevant education, counseling and support to assist member with the achievement of goals.
- Collaborates with Nurse Care Coordinators on patients with multiple co-morbidities, frequent hospitalizations or inappropriate Emergency Department (ED) visits.
- Interfaces with Medical Home team and Enrollee at prescribed or agreed upon intervals.
- Convenes the Interdisciplinary Care Teams, presents own patients, and provides guidance on others not directly managed.
- Conducts face to face visits on members with high or moderate risk stratifications on a quarterly basis.
- Conducts monthly outreach for high risk patients who are stable, more often for patients undergoing a transition or a change in treatment. Updates medical home team on status.
- Completes all required trainings, workshops, etc. within the required timeframe.
- Collaborates with medical home assignments to identify resources and process for effective communication.
- Conducts outreach to Case Management Department at hospital when Enrollees are admitted.
- Meets established case deadlines.
- Travels to the home of the Enrollees or their sites of care.
- Performs other duties as assigned.
Minimum Qualifications
- Licensed in the State of Illinois as a Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or Licensed Clinical Professional Counselor (LCPC) is required. (MUST PROVIDE PROOF AT TIME OF INTERVIEW)
- Three (3) years of healthcare work experience is required
- Prior care management work experience in a social service agency, physician group, hospital, or Emergency Department setting is required
- Valid Driver's license and mandatory vehicle insurance or other means of transportation is required (MUST PROVIDE PROOF AT TIME OF INTERVIEW)
Preferred Qualifications
Bilingual English/Spanish is preferred
Knowledge, Skills, Abilities, and Other Characteristics
- Knowledge of Microsoft Office products
- Effectively communicates care coordination benefits to Enrollees, Medical Home Teams and hospital based staff
- Collaborates effectively with team members
- Solution-oriented skills
- Ability to work at a fast-paced
- Ability to effectively prioritizes tasks
- Ability to work independently
- Ability to probe to get to underlying behaviors or Enrollee assumptions that are driving care coordination results
- Ability to communicate non-judgmental attitude
Physical and Environmental Demands
This position is functioning within a healthcare environment. The incumbent is responsible for adherence to all hospital and department specific safety requirements. This includes but is not limited to the following policies and procedures: complying with Personal Protective Equipment requirements, hand washing and sanitizing practices, complying with department specific engineering and work practice controls and any other work area safety precautions as specified by hospital wide policy and departmental procedures.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified.
For purposes of the American with Disabilities Act, "Typical Duties" are essential job functions.
VETERAN PREFERENCE
PLEASE READ
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service.
To take advantage of this preference, a Veteran must:
- Meet the minimum qualifications for the position.
- Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
- Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable.
OR
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
BENEFITS PACKAGE
- Medical, Dental, and Vision Coverage
- Basic Term Life Insurance
- Pension Plan
- Deferred Compensation Program
- Paid Holidays, Vacation, and Sick Time
- You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
For further information on our excellent benefits package, please click on the following link: http://www.cookcountyrisk.com/
MUST MEET REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
*Degrees awarded outside the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER