Statewide in Illinois - Program Coordinator Assistant (Social Work Aide III)

The DSCC Program Coordinator Assistant (Social Work Aide III) assists the assigned care coordination teams with various functions, including clerical and administrative. Under the direction of the regional manager and assistant regional manager, the Program Coordinator Assistant performs independent decisions that will contribute to the facilitation of services for DSCC program recipients.

Duties & Responsibilities:

• Assists care coordinators, and families, with coordinating different activities, such as identifying providers in the participant’s insurance network, community resources, and referrals.
•Collaborates with care coordination teams and assists care coordinator’s requests on the completion of release of information authorizations and support DSCC families as necessary during this process. Also, ensuring that documents comply with the organization’s guidelines upon receipt and uploading into the correct location in the Electronic Case Record.
•Utilizes the organization reports (e.g., Power BI) to identify documentation deadlines such as authorizations of release information, financials renewals, medical report requests, and participants’ benefits due dates.
•Requests, records, prepares, and processes necessary information to ensure documentation is corrected.
•Updates demographic and social determinants of health data and diagnosis.
•Initiates staffing requests as necessary to discuss participants’ needs, missing reports, or family outreach strategies with assigned care coordinators or managers.
•Ensures accuracy of outgoing information, such as person-centered care plans containing the signature of the assigned care coordinator.
•Collaborates with the regional office on quality improvement initiatives.
•Collaborates with the assigned care coordinator on the completion of remediations by the due date as recommended during record reviews (e.g., record reviews, financial reviews, any DSCC/MCO audit requirements).
•Receives, processes, and routes incoming correspondence (e.g., financial applications, signed authorizations, or signed person-centered care plans) or reports within required timeline.
Sends required correspondence within specific timeframes, such as financial redetermination, and status letters.
•HC SWA will conduct timely requests and follow-ups until required medical reports/documents are received from external entities and adequately uploaded into the case management electronic records to meet renewal requirements.
•HC SWA Adhere to renewal timelines established by the organization and the regional office such as communication of HFS approvals to nursing agencies (within 3 business days) and appropriate documentation in the record.
•HC SWA will access and pulls documents or records from portals (e.g., CIOX, EPIC electronic medical records).
•Ensure the appropriateness of these records to our programs and upload them into DSCC electronic case-management portal. •Adhere to the renewal cycle to avoid disruption of services for the recipient.
•Follows organization’s guidelines to meet high-quality record documentation and case notes.
•Escalates urgent participants’ needs to assigned care coordinators or managers.
•Assists Care Coordinators and families with private/public health insurance through effective benefits management practices for applicants/recipients.
•Complies with the University, Division, and Regional Office policies, and procedures.
•Participates in DSCC staff meetings and in-service training sessions.

• Interacts with families via telephone, zoom meetings, or face-to-face visits. Utilize a culturally – competent approach as guided by the university to support families’ cultural values and traditions. Utilize as necessary interpreter language line and accommodation resources based on the university’s Americans with Disability Act (ADA) guidelines, such as American Sign Language (ASL).

•Performs other duties and special projects as assigned.