MCO Specialist / Choices Program Care Coordinator
MCO Specialist / Choices Program Care Coordinator
Posted on :
15-07-2025
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1 Vacancy
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Job Description
MCO Specialist / Choices Program Care Coordinator
Kenneth Young Center is a 501(c)(3) not-for-profit dedicated to providing comprehensive outpatient behavioral health services to individuals of all walks of life. Located in the Northwest suburbs of Chicago we offer a wide range of services including outpatient therapeutic care recovery-oriented support community prevention LGBTQ outreach older adult services and crisis intervention. Our team welcomes and celebrates unique perspectives and represents the diversity and vitality of our local communities. Join our team to grow in your career while building stronger healthier communities.
Kenneth Young Center offers arobust benefit package that is highly competitive to the market and offers all full-time employees the following:
- 403(b) plan with organizational matching
- Medical Insurance (Blue Cross and Blue Shield of Illinois - BCBS)
- Dental (BCBS) and Vision Insurance (BCBS) with low employee premiums
- Long Term and Short Term Disability (BCBS) no cost to employee
- Flexible Spending Account (with annual rollover)
- Basic life insurance (50k) paid forby the organization and option for additional voluntary coverage for self spouse or dependents (BCBS)
- Incentive program with potential for quarterly bonuses
- Opportunity for annual bonus and salary increase (discretionary based on annual KYC financial audit)
- Eligibility to participate in the Public Service Loan Forgiveness Program (PSLF)
To further promote an active and healthy work/ life balanceKYCalso offers agenerous amount of paid time off and staff holidays.
- 4weeks of Paid Time Off (With increases based on seniority)
- 8 Paid Organization-Wide Holidays
- 3Personal Floating Holidays annually
Job Scope: The MCO Specialist/Choices Care Coordinator will complete the eligibility determinations required by the state for the target population to obtain Long Term Services and Supports in the community. There will be a strong emphasis on completing eligibility determinations for the target population. MCO Specialist/Choices Care Coordinator will also provide hospital and community-based prescreening services to older adults and persons with disabilities to assure the appropriateness of referrals for skilled nursing facility placement and to provide seniors with information about their choices and options for community based care. MCO Specialist/Choices Care Coordinator will also provide care management that promotes independence and quality of life for older adults as directed by supervisor. Performs comprehensive assessments care plan development and implementation coordinates services and provides ongoing monitoring of community-based services as directed by supervisor.
Primary Responsibilities:
- Manage and maintain a MCO caseload independently
- Conduct and complete pre and post screenings to determine the appropriate level of care in hospitals skilled nursing and supported living facilities
- Complete eligibility determinations for target populations for Long Term Services and Supports
- Conduct and complete Interim/TSI/Deinstitutionalization screenings
- According to HFS/IDOA conduct and complete the processes complete appropriate entries in Assessment Pro/entering level 1 for SLP/community assessments.
- Educate clients and their families on choices/options for care when appropriate
- Establish and maintain a system for receiving referral information and scheduling prescreening appointments
- Complete in a timely and accurate fashion clinical and programmatic documentation and reports as required by Age Options IDOA and the Centers policies and procedures.
- Cooperate with the Supervisor of Compliance and Billing to assure timely and accurate billing
- Provide care planning and service implementation for clients in both crisis and non-crisis situations.
- Function as a liaison between the MCO IDOA consulting physicians social services staff hospital discharge planners nursing home staff clients and their families on appropriate services when necessary
- Receive supervision and provide feedback regarding clinical and administrative issues as needed with manager
- Conduct and complete pre/post screenings and deinstitutionalizations to determine the appropriate level of care in community hospitals skilled nursing and supported living facilities
- Work cooperatively with other Choices Care Coordinators to assure coverage of hospital and community Nursing Home Prescreens
- Work cooperatively with agency staff to maintain continuity of care for clients receiving multiple services
- Interpret and communicate at the service delivery level Center policies and procedures.
- Demonstrate knowledge of MCO/Choices documentation standards and capacity to meet documentation requirements.
- Participate in supervision as directed with the manager and in regular performance evaluations
- Participate in staff development team meetings and training
- Ensure client confidentiality in accordance with KYC policy and HIPAA requirements.
- Maintain Illinois Department on Aging (IDOA) records and documentation act as liaison between older adults and providers
Travel & Work Environment
- While performing the duties of this position the employee travels by automobile about 85% of the time and is exposed to changing weather conditions.
- While performing the duties of this job the employee regularly works in an office setting roughly 25% of the time.
- A majority of the employees time will be spent in the community (75%) driving to and from client homes and providing eligibility assessments and case management in the home as well as driving to and from area nursing and supportive living facilities.
- While in residential facilities and client homes the employee may be exposed to varying home conditions based on assigned caseload.
Education and Experience
- Bachelors degree from an accredited college or university in social work psychology or a related discipline
- Previous experience in the provision of social services to older persons and/or persons with disabilities
- DOA Community Care Program Certification preferred
Schedule
- Exempt Full-Time 37.5 hour work week
- Must have some weekend availability to cover required shifts.
Kenneth Young Center is an Equal Opportunity Employer
Required Experience:
IC
Employment Type
Full Time
Key Skills
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