• Job Description

  Req#: 25-65015
  
  Position Purpose:
  Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.
  
  Education/Experience:
  Requires a Bachelor's degree and 1 year of related experience.
  
  Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
  
  For Iowa Plan Only: A bachelor’s degree with 30 semester hours or equivalent quarter hours in a human services field (including, but not limited to, psychology, social work, mental health counseling, marriage and family therapy, nursing, education, occupational therapy, and recreational therapy) and at least one year of experience in the delivery of services to the population groups that the person is hired as a case manager or case management supervisor to serve; or An Iowa license to practice as a registered nurse and at least three years of experience in the delivery of services to the population group the person is hired as a case manager or case management supervisor to serve .
  For Illinois Plan Only: In addition to the requirements above the employee working on
  
  Physically Disabled/Elderly
  Candidate must meet one of the 3 following criteria:
  1. RN licensed in Illinois.
  2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.
  3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly
  
  Brain Injury/HIV/AIDS
  Candidate must meet one of the 3 following criteria:
  1. A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience
  2. Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work
  3. Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling
  
  In addition to meeting one of the above criteria, must have experience working with:
  • Addictive and dysfunctional family systems
  • Racial and ethnic minorities
  • Homosexuals and bisexuals
  • Persons with AIDS, and
  • Substance abusers
  .Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
  
  Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
  
  Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
  
  Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans
  
  Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
  
  Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
  
  Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
  
  May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate
  
  Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits
  
  Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
  Performs other duties as assigned
  
  Complies with all policies and standards
  
  EEO:
  
  “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”
  
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  Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Education/Experience: Requires a Bachelor's degree and 1 year of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Physically Disabled/Elderly Candidate must meet one of the 3 following criteria: 1. RN licensed in Illinois. 2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology. 3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly In addition to meeting one of the above criteria, must have experience working with: • Addictive and dysfunctional family systems • Racial and ethnic minorities • Homosexuals and bisexuals • Persons with AIDS, and • Substance abusers .Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards
  Story Behind the Need – Business Group & Key Projects
  Health plan or business unit Team culture Surrounding team & key projects Purpose of this team Reason for the request Motivators for this need Any additional upcoming hiring needs?	2 openings, team makes contractual contact with our members to assess for any unmet needs, services and addresses any barriers to health. Mainly telephonic assessments, calls to members or parents, providers.
  Typical Day in the Role
  Daily schedule & OT expectations Typical task breakdown and rhythm Interaction level with team Work environment description	Full time, may need to work sometimes past 5pm as older members or parents are home after 5pm, but can flex during day for this. Remote position, but we do meet in office every 2-3 months for meetings and team engagement activities. New hires may need to go to office for initial training.
  Compelling Story & Candidate Value Proposition
  What makes this role interesting? Points about team culture Competitive market comparison Unique selling points Value added or experience gained	This role is interesting because you get to connect with our members or parents of children with special health care needs and challenges and assist them. Team is highly engaged and supportive of each other, always willing to help each other. This is a fast-paced position, must be a very quick learner and receptive to feedback.
  Candidate Requirements
  Education/Certification	Required: HS Diploma	Preferred: Bachelor
  Licensure	Required: n/a	Preferred: n/a
  Years of experience required Disqualifiers Best vs. average Performance indicators	Must haves: excellent customer service skills, strong computer skills, attention to detail, telephonic work, reliable internet connection Nice to haves: bilingual Disqualifiers: no experience working with Medicaid and special health care needs Performance indicators: no metrics, candidates need to have good work ethic/time management/organization. There is a productivity log, but the tasks are very fluid. Best vs. average: quick learner, engaged, asks valid questions, cares about quality of work, takes initiative, cares for members’ needs.
  Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection	1	Computer skills – high level of exp, important (Microsoft Office)
  2	Communication skills – high level of exp, will be on telephonic majority of time
  3	Decision-making skills – be able gather information via probing to make decisions
  Candidate Review & Selection
  Shortlisting process Second touchpoint for feedback Interview Information Onboard Process and Expectations	Projected HM Candidate Review Date:	1-2 days post-shortlisting
  Number and Type of Interviews:	1, Teams, Camera On
  Required Testing or Assessment (by Vendor):	n/a
  Manager Communication Preferences & Next Steps
  Background Check Requirements (List DFPS or other specialty checks here)	n/a
  Do you have any upcoming PTO?	n/a
  Colleagues to cc/delegate	n/a
  
  

• About the company

  Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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