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The Case Management Coordinator utilizes critical thinking and professional judgment to support the case management process in order to facilitate and maintain improved healthcare outcomes for members by providing advocacy, collaboration, coordination, support, and education through care management tools and resources.
Job Responsibility:
Evaluate members through care management assessments and information/data review
Recommend an approach to resolving care needs
Identify high risk factors and service needs
Coordinate and implement Wellness care plan activities
Consult with case managers, supervisors, Medical Directors and other health programs
Present cases at case conferences
Escalate quality of care issues
Utilize negotiation skills to secure appropriate options and services
Provide coaching, information, and support to empower members
Monitor, evaluate, and document care using case management and quality management processes
Requirements:
Minimum 6 months experience in Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services or evidence-based practices applicable to the Kentucky SKY populations
Minimum of a Bachelor's degree or a non-licensed master level clinician is required with either degree being in behavioral health or human services field
Nice to have:
3+ years' experience required in behavioral health, social services, social work, psychology, sociology, marriage and family therapy, or counseling
1+ MCO experience
What we offer:
Affordable medical plan options
401(k) plan including matching company contributions
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