Case Management

Job Title: Healthcare Consultant I

Job Location: Must reside in the state of Illinois in LaSalle/Bureau County area

Schedule : M-F 8am-5pm

Contract: 5-6months

Skills

• Valid Illinois Driver’s license
• Willing and able to travel up to 75% of their time to meet with members face to face
• Reliable Transportation required, eligible for mileage reimbursement as per company policy.
• Minimum of two (2) years of case management experience
• Microsoft Office and electronic health record experience

Pay Rate: $ 35.00/ W-2

About Company
Since its Founded in 1996, CTC began as an IT organization and has evolved over nearly 30 years into a multidisciplinary solutions partner. CTC took our expertise to the next level by adding healthcare staffing and technology, forming CTC Medisource.CTC Medisource is a reliable partner that assists healthcare organizations in sourcing quality talent to improve the patient experience, scale the workforce, and increase operational performance. Headquartered in Detroit, Michigan, with a global team of more than 2,000 professionals, we bring deep expertise across Healthcare Staffing, AI & ML, Enterprise Applications, Digital Health, Managed Services, and Business Services.

Duties :

• Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred members' needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating members' benefit plan and available internal aid and external programs/services.
• Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
• Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgeably participate with their provider in healthcare decision-making.

Education : Individual with a bachelor’s degree or a non-licensed individual with a master’s degree, with either degree being in a human-services field (including, but not limited to sociology, special education, rehabilitation counseling).

Summary : This Analyst, Case Management Field position is with Aetna’s Long Term Services & Supports (LTSS) team and is a field-based position out of the Peoria County area of Illinois. The requirements is for candidates to travel 50-75% of the time to meet with members face to face. This position holds a full caseload to manage waiver members. This position requires in person quarterly visits with members. This position is critical to meet contractual requirements. Facilitate appropriate healthcare outcomes for waiver/LTSS members by providing care coordination, support and education for members through the use of care management tools and resources.

This job can be searched as Healthcare Consultant or Case manager or Long-term care coordinator, Care Coordinator , Care Manager (Non-RN focused), Case Worker, Health service coordinator .

Pay: $35.00 per hour

Benefits:

• Dental insurance
• Vision insurance

Application Question(s):

• Do you have a reliable transport

Education:

• Bachelor's (Required)

Experience:

• Case management: 2 years (Required)
• Electronic health record: 1 year (Required)

Work Location: In person

Salary : $35