Trilogy Behavioral Health Care Coordinator (Rogers Park) in Chicago, United States
Schedule: Monday - Friday; 8:00 am - 4:30 pm
The Care Coordinator will be Trilogy’s clinical liaison to managed care organizations (MCOs), Integrated Health Homes (IHH), The Illinois Health Practice Alliance (IHPA), and will ensure compliance with The Healthcare Effectiveness Data and Information Set (HEDIS) measures. They will work directly with contracted MCOs to find, engage, assess, and connect members to necessary healthcare needs. They will monitor and report on metrics and outcomes. The Care Coordinator will assess the needs of Williams and Colbert Class Members as they prepare to transition into the community; and act as an advocate/liaison between the provider team, facility, and the payor. They will work with departments and programs across the organization to ensure care coordination standards are met. The Care Coordinator will provide and ensure the team provides client-centered, strengths-based, and trauma-informed services to clients with severe mental illness and co-occurring substance abuse/addiction disorders utilizing a harm reduction approach.
Liaison between Trilogy and MCOs to locate members disconnected with MCOs and treatment. Engage, assess, and connect them to necessary health care (e.g. review of claims if available)
Prioritize clients in potential need of community-based care coordination with MCOs
Conduct health assessments related to member’s ’s personal, medical, emotional, social, and environmental situation and make referrals to appropriate levels of care.
Contact identified members to provide education on programs that will address their healthcare needs linking them to needed community services. Engage members in discussion of adherence to personal health plans.
Organize and direct care coordination efforts across departments and programs
Develop and maintain positive working relationships with partner organizations in Trilogy’s Prime, MCO’s, IHPA, and IHH
Meet deliverables based on MCO care coordination contracts and complete required reporting.
Attend inter-department team meetings as needed to gather information for care coordination purposes and ensure high quality service for clients
Develop, implement, and track HEDIS measures across the organization.
Maintain prior authorization, documentation, and ensure charting is in compliance with MCOs, Medicaid, state specific accreditation, and organization standards.
Perform other job-related duties and/or projects as assigned.
Must have received or be willing to receive the COVID-19 vaccination by the date of hire to be considered. Proof of vaccination required.
Master’s Degree in Social Work, Psychology, or Counseling required
IM+CANS certification required or must obtain IM+CANS certification within 30 days of hire date.
Minimum one year of experience working with people with mental health and/or substance abuse diagnoses
Valid Illinois driver’s license with daily access to a well-maintained vehicle with $1,000,000/$3,000,000 liability insurance
Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) preferred
Req No.: 2021-3347
External Company Name: Trilogy Behavioral Healthcare
External Company URL: trilogyinc.org
Street: 1607 W. Howard St.