Case Coordinator

• Monitor and manage care coordination initiatives
• Help DWIHN, its provider network, and the healthcare community progress toward a holistic, integrated, broad-ranging service model
• Follow NCQA guidelines for Complex Case Management
• Maintain a caseload of DWIHN members
• Complete required documentation in MHWIN within required time frames
• Visit members in hospital or community settings
• Complete assessments and plans of care within required time frames
• Identify eligible members through hospital inpatient lists, EMS lists, PHQ, hospital recidivism, and other sources
• Oversee marketing and education of Wayne County community providers
• Receive and respond to complex case management referrals within designated time frames
• Complete weekly and monthly reports
• Provide transitions-of-care support for members discharged from acute care settings
• Maintain compiled member lists/data for reporting requirements
• Coordinate with member care teams at the community level
• Connect members with community resources and health providers
• Assist members with applications for health benefits, SSI, Bridge Card, and related support
• Participate in care review mock audits and file reviews
• Provide care coordination for members not eligible for Complex Case Management
• Attend weekly team meetings, all-staff meetings, DWIHN meetings, designated CRSP/COPE/Children/Hospital Liaison meetings, and required training
• Perform related duties as assigned

Case Coordinator jobs in Michigan

Complex Case Coordinator