Care Coordinator

Description

• collaborate with other professionals to evaluate members’ medical or behavioral health conditions and to assess members' needs;
• upon handoff from the Outreach Team, conduct member engagement activities, including face-to-face, mail, electronic, and telephone contact;
• establish and maintain effective communication with primary and specialty care physicians, substance abuse and mental healthcare providers, family, collateral resources, and other agency staff on behalf of members;
• assist members with managing daily routines related to healthcare and incorporating members’ strengths and identifying barriers;
• assist with the development and execution of members’ care plans, including helping members in understanding care plans and instructions and tailoring communications to appropriate health literacy levels;
• coordinates care for a caseload of 30-35 members;
• advocate for members to resolve crises;
• manage wrap-around funds, metro cards and checks for member purchases, including obtaining the necessary approvals for all purchases in keeping with the member’s goals.
• conduct initial and periodic needs assessments, including assessing barriers and assets (i.e., transportation, community barriers, social supports); member and family/caregiver preferences and language, literacy, and cultural preferences;
• provide crisis intervention and follow-up;
• assist with conducting outreach and engagement activities that support continuity of care, including re-engaging members in care if they miss appointments and/or do not follow up on treatment;
• maintains monthly contact with all members of assigned caseload, with increased contact for newly enrolled and high-risk members;
• assist members with accessing healthcare and social systems, including arranging for transportation and scheduling and accompanying members to appointments;
• assist with coordinating members’ access to individual and family supports and resources.;
• maintain documents, records, statistics, and other related reports in an organized, timely, and accurate manner as per policy and procedure;
• record client progress according to measurable goals described in his/her care plan;
• monitor member entitlements, insurance, and other benefits to ensure they remain active and in place;
• assist members with identifying available community-based resources and actively manage appropriate referrals, access, engagement, follow-up, and coordination of services;

Requirements

• Bachelors degree and two years of related human services experience in providing direct services to individuals with chronic health and/or behavioral health disorders.

Benefits

Training + Development

Interview process

Visa Sponsorship

Security clearance