Care Coordinator

About the role

Under direct supervision, works closely with care management (CM) team to provide short-term care coordination and connection to resources. The Care Coordinator collaborates with members, providers, and the CM team to support members’ health and overall well-being through education, care coordination, and access to services.

Responsibilities

• Provides administrative support to the members of the CM team.
• Collects data for Health Risk Assessments (HRA).
• Screens for eligibility and benefits.
• Identifies members without a PCP and refer to Member Services.
• Screens members by priority for CM services and refer as appropriate.
• Performs transition of care duties to include, but not limited to, contacting the members’ PCP, Medical POA, or other medical providers (i.e., specialists, home health agencies) for information pertaining to special needs.
• Produces and mails routine CM letters and program educational materials.
• Documents all encounters and contacts made on behalf of clients; completes and submits monthly reports; maintains comprehensive electronic member records, which include notes, release of information, assessments and other medical documents acquired on behalf of the member.
• Motivates members to be active and engaged participants in their health and overall well-being.
• Provides educational material and member follow-up, arrange PCP visits, and perform care coordination under the direction of the Care Manager.
• Aids members in accessing health related services, including but not limited to obtaining a medical home, understanding the appropriate use of the medical home, overcoming barriers to obtaining needed medical care and/or connecting with social services.
• Proactively assists with care coordination of needed resources to address barriers or SDoH needs, close gaps in care, and help with the appropriate access to care.
• Follows up with both members and providers regarding identified health and/or social services.
• Verifies appointments or obtains medical records as directed by the CM team to promote member compliance.
• Continuously expands knowledge and understanding of community resources and services.
• Facilitates member access to community resources, including, but not limited to, housing, food, clothing, prenatal and parenting classes, life-skills education, and relevant mental health services.
• Facilitates communication and coordinate services between providers and the members.
• Works collaboratively and effectively within a team.
• Establishes positive, supportive relationships with participants and provides feedback to other members of the team.
• Builds and maintains positive working relationships with members, providers, nurse care managers, social workers, agency representatives, and office staff, from diverse cultural and socio-economic backgrounds.

Requirements

• Strong interpersonal, communication, and customer service skills and the ability to work effectively with a wide range of constituencies in a diverse community.
• Knowledge of community agencies and resources.
• Knowledge of medical terminology.
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Knowledge of transportation and other barriers to care that members may face.
• Ability to communicate medical information to health care professionals and members of the care management team.
• Creative and analytical thinking; solid written and oral skills.
• Strong problem-solving, organizational, and time management skills.
• Proficiency with computers and Microsoft Office applications preferred.
• Possession of a valid State Driver’s License is a requirement for this position.

Qualifications

• High school diploma or equivalent.
• Two or more years of experience serving the Medicaid population in the Maryland or Washington, D.C. area preferred.

Skills

• Knowledge of community agencies and resources.
• Knowledge of medical terminology.
• Working knowledge of multi-system outreach programs related to health care delivery, clinical education, and health-related services.
• Knowledge of transportation and other barriers to care that members may face.
• Ability to communicate medical information to health care professionals and members of the care management team.
• Creative and analytical thinking; solid written and oral skills.
• Strong problem-solving, organizational, and time management skills.
• Proficiency with computers and Microsoft Office applications preferred.

Benefits

Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Pay

$48k-51k