Champaign, IL -Social Work Aide III (Program Coordinator Assistant)

University of Illinois Chicago•Champaign, IL

8d•Hybrid

About The Position

The DSCC Core/Connect Care Program Coordinator Assistant (III) assists assigned care coordination teams with clerical and administrative functions. Under the direction of the regional manager and assistant regional manager, the position makes independent decisions that contribute to facilitating services for DSCC Core/Connect Care recipients. The assistant supports care coordinators and families with provider and community-resource identification, referrals, benefits management, financial eligibility processes, documentation, correspondence, and participant outreach. The role also collaborates with care coordination teams and the regional office on quality improvement, record-review remediations, and compliance with organizational policies and documentation standards. Family interactions may take place by telephone, Zoom, or face-to-face visits, using culturally competent approaches and interpreter or accommodation resources as needed.

Requirements

Two years of work experience comparable to a Social Work Aide II.
The two-year qualification may be met by a combination of work experience providing knowledge of human behavior and the ability to cope with a variety of people and/or understand people’s needs and feelings in a public/customer-service environment, and college coursework in social or behavioral sciences or a related field.
College coursework is credited at 15 semester hours for six months of experience and 30 semester hours for one year, or the proportional equivalent.
Illinois residency is required within 180 days of employment.

Responsibilities

Assist care coordinators and families with identifying in-network providers and community resources, and making referrals.
Support completion of releases of information; check received documents against organizational guidelines and upload them to the correct location in the Electronic Case Record.
Use organizational reports, such as Power BI, to identify documentation deadlines, including authorization, financial-renewal, medical-report, and participant-benefit due dates.
Request, record, prepare, and process information needed to correct documentation; update demographic, social determinants of health, and diagnosis data.
Initiate staffing requests to discuss participant needs, missing reports, or family outreach strategies with care coordinators or managers.
Ensure outgoing information is accurate, including person-centered care plans bearing the assigned care coordinator’s signature.
Collaborate with the regional office on quality improvement initiatives and with care coordinators to complete record-review, financial-review, and DSCC/MCO audit remediations by their due dates.
Receive, process, and route incoming correspondence and reports within required timelines; send required correspondence, including financial redetermination and status letters, within specified timeframes.
Maintain high-quality record documentation and case notes according to organizational guidelines; escalate urgent participant needs to care coordinators or managers.
Assist care coordinators and families with private and public health insurance through benefits-management practices.
Comply with University, Division, and Regional Office policies and procedures, and participate in staff meetings and in-service training.
Interact with families by telephone, Zoom meetings, or face-to-face visits, using culturally competent approaches and interpreter or accommodation resources as needed.
Explain the financial eligibility process to families and provide application forms; review applications for accuracy and follow up with families when required.
Determine family financial eligibility after reviewing documents, ensure supporting documentation is in the Electronic Case Record, complete the financial screen, and submit it for review.
Ensure financially eligible families receive cost/travel logs and assist with submissions as needed.
Assist care coordinators in obtaining administrative or prior-approval documentation and ensure benefits and supporting documents are available in the record.