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.
EDUCATION AND/OR EXPERIENCE Case Manager
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.
CERTIFICATION/LICENSURE 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. OTHER SKILLS AND ABILITIES Basic PC/Laptop skills Knowledge of Microsoft Office, Internet Explorer, Google Chrome Excellent customer service skills Effective verbal & written communication Organized, able to multi-task in a fast-paced environment Able to sit, stand and walk intermittently Ability to lift/carry laptop and paperwork to/from office and homes/facilities Must be able to navigate various entrances to homes/apartments/facilities LEVEL OF SUPERVISION N/A
$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