Medical Social Consultant (Care Coordinator)

University of Illinois Chicago•Peoria, IL

7d•Hybrid

About The Position

The Division of Specialized Care for Children (DSCC) is seeking a Medical Social Consultant (Care Coordinator) to provide care coordination services to families eligible for the Core/Connect Care programs. This hybrid role, based in Peoria, IL, involves working closely with families to develop comprehensive assessments and person-centered care plans, coordinate resources, and facilitate communication between families and healthcare providers. The position operates under the direction of the regional manager and assistant directors, adhering to specific program contractual requirements.

Requirements

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.
Three (3) years (36 months) of progressively more responsible full-time experience in social work in a medical/clinical or social service agency setting.
Illinois Residency is required within 180 days of employment.

Responsibilities

Perform active care coordination services by completing comprehensive health assessments, identifying families' strengths, and developing a person-centered service and care plan.
Facilitate 30-day (or as needed) monitoring of the person-centered care plan, assess/determine status change, prioritize unmet needs, and locate resources.
Conduct and document in-person visits at home (every 6 months or as needed) or in other appropriate settings like schools or hospitals.
Complete consistent and timely documentation (within 48 hours) to ensure compliance with case record compliance as established by procedures.
Participate in Medicaid managed care clinical rounds occasionally.
Participate in DSCC multidisciplinary meetings as needed.
Engage with the transition of the care team to promote effective discharge planning.
Educate, support, and connect families with resources for a seamless age transition.
Provide close collaboration with MCO teams for participants that are co-managed (e.g., waiver recipients).
Arrange, lead, and contribute with areas of expertise to multi or interdisciplinary care team meetings with participants’ providers, family members, nursing agencies, or school teams.
Identify/escalate and facilitate internal team meetings on participants with complex behavioral/social determinants or clinical factors impacting their well-being.
Identify critical incidents and collaborate 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.
Utilize interpreter language line and accommodation resources based on the university’s Americans with Disability Act (ADA) guidelines, such as American Sign Language (ASL).
Utilize a culturally – competent approach as guided by the university to support families’ cultural values and traditions.
Actively participate in post-records reviews and complete recommended remediation within the expected timeline.
Contribute to quality improvement initiatives, including attendance at quality huddles and provision of recommendations as needed.
Assist 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.
Assist families with private/public health insurance through effective benefits management practices for recipients.
Identify financial needs and assist with the completion of DSCC financial application, and annual redetermination.
Competent collection of documentation to support administrative/prior approvals for Core eligible services, and utilization of other resources like gift funds.
Comply with the University, Division, and Regional Office policies, and procedures.