Care Coordinator

About the role

The Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. This role manages a caseload of members, conducts in-home assessments, and collaborates with a multidisciplinary team to ensure integrated, high-quality care across the continuum.

Responsibilities

• Performs comprehensive member assessments, including face-to-face and in-home visits as required.
• Develops and implements individualized care plans in collaboration with members, caregivers, physicians, and support networks.
• Maintains and monitors care plans for effectiveness, documenting interventions and adjustments as necessary.
• Promotes integration of services, including behavioral health, LTSS, and community resources.
• Evaluates benefits and advises on funding sources.
• Facilitates interdisciplinary care team (ICT) meetings and collaborates informally with team members.
• Uses motivational interviewing techniques to educate and support members.
• Identifies barriers to care and provides assistance to address psychosocial, financial, and medical concerns.
• Develops prevention plans for critical incidents to ensure member health and safety.
• Maintains accurate documentation in electronic systems and adheres to compliance standards.
• Travel locally (25–40%) for member visits; mileage reimbursement provided.
• Works with a variety of personalities, maintains a consistent and fair communication style.
• Satisfies the needs of a fast-paced and challenging company.

Qualifications

• Active, unrestricted Oregon licensure as a Registered Nurse (RN, BSN, or MSN) or Licensed Clinical Social Worker (LCSW), or a bachelor’s or master's degree in health or human services field that meets eligibility requirements to sit for the Certified Case Manager (CCM) examination.
• Minimum of two (2) years of healthcare experience, including at least one (1) year of experience supporting individuals with disabilities or chronic conditions within Long-Term Services and Supports (LTSS).
• At least one (1) year of experience in care management or a medical and/or behavioral health setting.
• Valid driver’s license, reliable transportation, and current automobile insurance.
• Proficiency in Microsoft Office Suite and ability to navigate electronic health records (EHR) and other care management systems.
• Strong knowledge of Oregon community resources and experience working with diverse populations.
• Strong time management, multitasking, and problem-solving skills.
• Certified Case Manager (CCM) certification required within eighteen (18) months of hire.

Benefits

• Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave.
• Medical, dental, and vision insurance.
• 401(k) with company match (fully vested immediately).
• Company-sponsored life insurance and additional benefits.
• Fitness reimbursement program.
• Tuition reimbursement and more.