Trilogy Behavioral Health

  • Care Coordinator

    Req No.
    2018-2155
    Type
    Regular Full-Time
    Department
    Intake
  • Overview

    About Trilogy Behavioral Healthcare:

                                                       
    Trilogy Behavioral Healthcare Inc. strongly believes that treatment services are more effective when provided in the client’s natural setting, hence, the majority of services provided are located in the community.  Trilogy Behavioral Healthcare Inc. also employs a holistic approach to each client’s treatment and integrates all facets of our clients’ lives including mental/emotional health, physical health/wellness, employment and education, social and family relationships, substance use/abuse issues, and housing needs.

     

    Typical services provided include case management, counseling/therapy, individual skills training, medication training, crisis intervention, linkage to community resources, advocacy, assessment, and treatment planning.

    Responsibilities

    The Care Coordinator will be Trilogy’s clinical liaison to managed care organizations (MCOs) and will ensure compliance with The Healthcare Effectiveness Data and Information Set (HEDIS) measures. The Care Coordinator will work directly with contracted MCOs to find, engage, assess, and connect members to necessary medical and/or behavioral health care. He/she will monitor and report on metrics and outcomes. The Care Coordinator will also work with departments and programs across the organization to ensure care coordination standards are met.

     

    Essential Responsibilities

    • Liaison between Trilogy and MCOs to locate members disconnected with MCOs and treatment. Engage, assess, and connect them to necessary medical and/or behavioral 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
    • Meet deliverables based on MCO care coordination contracts and complete required reporting.
    • Develop, implement, and track HEDIS measures across the organization.
    • Maintain prior authorization, documentation, and charting in compliance with MCOs, Medicaid, state specific accreditation, and agency standards.
    • Provide effective supervision and coaching to all assigned team members as needed. Train new employees to provide quality services to clients. Ensure continued education and training for assigned clinical and administrative staff to strengthen services provided.
    • Perform other job-related duties and/or projects as assigned.

    Qualifications

    This position requires a minimum of ONE of the following:

    • LCSW (Licensed Clinical Social Worker) with a valid Illinois License
    • LCPC (Licensed Clinical Professional Counselor) with a valid Illinois License

     

    Other Requirements include: 

    • Valid IL Driver’s License
    • Daily access to a well maintained vehicle with 100,000/300,000 liability insurance
    • Minimum three years’ experience working with people with mental health and/or substance abuse diagnoses in a leadership role preferred

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