Care Coordinator, Initiation Team (Medicaid Care Coordination)

Location: Remote Illinois; must reside in the state of Illinois. Field position requiring 75% local travel to members' homes, assisted living facilities, long-term care facilities, and other care settings. Occasional travel to hirify.global offices for training or meetings may be required. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST, with flexibility based on business needs.

Salary: $53,700–$72,600 per year.

Company

hirify.global is a U.S. healthcare and insurance company providing Medicare, Medicaid, and healthcare services.

What you will do

• Proactively contact newly enrolled Illinois Medicaid members and complete comprehensive health risk assessments.
• Assess member needs through telephonic and face-to-face interactions, identifying healthcare, social service, and immediate care gaps.
• Plan, implement, monitor, and evaluate care management interventions against members' personal goals.
• Coordinate services with providers, payer sources, interdisciplinary teams, families, and community resources.
• Help members file grievances and appeals and explain managed care organization requirements, services, and benefits.
• Support members in accessing appropriate care settings and resolving barriers to effective care.

Requirements

• Bachelor's degree in social sciences, social work, human services, or a related field, or an unrestricted Illinois LPN license with one year of relevant assessment and elderly-care experience, or an LPC or LSW license.
• Residence in Illinois is required.
• At least one year of healthcare and/or case management experience.
• At least one year of experience with Medicare or Medicaid recipients, long-term care, home and community-based services, or managed care organizations.
• Intermediate to advanced computer skills with Microsoft Word, Excel, and Outlook, plus experience with electronic medical records and other information systems.
• A valid state driver's license and personal vehicle liability insurance are required. Patient-facing work also requires TB screening.

Culture & Benefits

• Full-time schedule of 40 hours per week with medical, dental, and vision benefits.
• 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
• Short- and long-term disability coverage and life insurance.
• Remote work from a dedicated, interruption-free space that protects member PHI and HIPAA information.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.