1 Case Coordinator Job in Urbana, IL
Carle Health is Hiring a Case Coordinator Near Urbana, IL
Position Summary:Develops an effective system of communication with physicians, patients, employers, insurance carriers, and rehab consultants in order to monitor treatment progress and outcomes, and to ensure appropriate, timely, cost-effective, and seamless treatment delivery for patients receiving treatment for work related injuries.
Qualifications: EDUCATIONAL REQUIREMENTS
Bachelors Related Field or Associates Nursing or College Diploma Nursing or three years experience in Worker's Compensation delivery systems is valid substitution for academic achievement.
CERTIFICATION & LICENSURE REQUIREMENTS
Applicable Illinois Licensure for Registered Nurse or Licensed Practical Nurse if educational background is nursing.
EXPERIENCE REQUIREMENTS
Three (3) years Related Field
SKILLS AND KNOWLEDGE
Extensive and practical knowledge base re: the Illinois Worker's Compensation Act and its provisions; employer and insurance carrier issues/needs/expectations; counseling and problem solving skills with individuals at a variety of levels. Requires knowledge of medical terminology; strong organizational skills, effective communication and interpersonal skills; ability to think on one's feet; ability to work effectively and confidently with patients, physicians, employer representatives, insurance adjusters, and Carle staff. Ability to effectively prioritize and clearly document communications and provide consistent, timely follow-through. Ability to work independently as well as collaboratively and to function as part of a team.
Essential Functions:
- Arranges/coordinates case conferences as necessary regarding occupational rehabilitation clients.
- Contacts payers to obtain prior authorization for services; documents and conveys payment.
- Develops and implements a comprehensive, effective system of communication with physicians, employers, insurance carriers, rehab consultants, attorneys, and counseling of patients.
- Educates staff regarding Worker's Compensation and return-to-work issues.
- Evaluates cases and assists providers with treatment plans.
- Monitors progress/outcomes (in treatment) to ensure appropriate, timely, cost-effective, seamless treatment delivery for patients receiving treatment for work related injuries and those referred for rehabilitation.
- Schedules functional capacity evaluations, functional abilities assessments, work conditioning baseline evaluations, and work conditioning.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information: human.resources@carle.com.
Effective September 20, 2021, the COVID 19 vaccine is required for all new Carle Health team members. Requests for medical or religious exemption will be permitted.
Job Summary
Full Time
$63k-85k (estimate)
05/25/2024
06/13/2024
carle.org
CHAMPAIGN, IL
1,000 - 3,000
1946
Private
$1B - $3B
Hospital
Related Companies
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Case coordinators oversee the care of many patients simultaneously.
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Case Coordinators help their patients understand their options concerning the specific situation they are dealing with at the time.
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Works in health care or social work, helping clients implement a care plan and utilize resources available to them.
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Assist individuals and families in setting up treatment options and services, such as arranging transportation for outpatient services or coordinating residential care.
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Work with clients assigned to rehabilitative or long-term care facilities, substance-abuse programs, mental health clinics, nursing homes or adult day-care facilities, as well as those receiving at-home care.
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Certification determines that the Case Coordinator possesses the education, skills and experience required to render appropriate services based on sound principles of practice.
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Project coordinator positions require a wide variety of skills and draw on many fields.
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Working as a Case coordinator in the complex healthcare field requires an ability to juggle multiple tasks and interact with a variety of clients, medical professionals and other service providers.
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The qualifications for a Case Coordinator job include a minimum of a bachelor’s degree in healthcare management, social work, rehabilitation, counseling, human services, or a related field.
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Some organizations might require a master’s degree and a minimum of three to five years of related work experience.
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