Care Coordinator

Overview: 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.
Trilogy is considered a Prime organization under the Comprehensive Class Member Program and provides support services to Williams and Colbert Class Members participating in the program. The Williams and Colbert Consent Decrees are two of the largest Olmstead settlements in Illinois, with over 24,000 Class Members. Through the settlements, the State of Illinois agreed to provide supports and services to help Class Members transition from institutional settings to live in the community. Class Members can live in the most integrated setting that meets their needs.
The Care Coordinator will be Trilogy’s lead clinical liaison to managed care organizations (MCOs), Integrated Health Homes (IHH), The Illinois Health Practice Alliance (IHPA) and will ensure compliance with Healthcare Effectiveness Data and Information Set (HEDIS) measures. The Care Coordination Manager will oversee care coordination efforts for all Williams and Colbert Class Members who are assigned to Trilogy’s Prime network. They will provide direct clinical supervision for team members; and is responsible for the day to day operations of care coordination services implemented throughout the organization. The Care Coordinator will develop and monitor performance indicators and identify trends and areas of opportunity to proactively resolve operational issues and improve reporting outcomes. They 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.Responsibilities:

• 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) in English and Spanish
• 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 in English and Spanish.
• Contact identified members to provide education on programs that will address their healthcare needs linking them to needed community services in English and Spanish. Engage members in discussion of adherence to personal health plans in English and Spanish.
• 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 charts are in compliance with MCOs, Medicaid, state specific accreditation, and organization standards.
• Perform other job-related duties and/or projects as assigned in English and Spanish

Qualifications:

• Masters’ Degree in Social Work, Psychology, or Counseling required
• Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) preffered.
• IM+CANS certification required or must obtain IM+CANS certification within 30 days of hire date.
• Minimum one year 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
• Supervisory/leadership experience preferred
• Bilingual in Spanish Preffered