Care Coordinator I

About the role

The Care Coordinator I position is open to applicants residing in Arkansas and reports to the Care Coordination Supervisor. This role is full-time and non-exempt, with benefits including medical, dental, and vision insurance, a flexible spending account, and company-paid life and AD&D insurance.

Responsibilities

• Develops, documents, evaluates, monitors, and modifies the assigned members' annual Person-Centered Service Plan (PCSP) on an ongoing basis.
• Maintains monthly contact with members, their families/guardians, providers, community resources, stakeholders, and other professionals in the members' care team.
• Conducts in-person visits at least once every quarter, with more frequent monthly visits for complex cases.
• Maintains contact via telephone at least once a month and utilizes virtual meetings through a company-provided laptop equipped with communication and database software.
• Documents work activities and member information into the electronic medical records system (EMR) within twenty-four hours according to APC policies regarding documentation.
• Complies with the core metrics established for assigned members according to APC policies and regulatory standards.
• Answers questions and provides information over the telephone, email, and in person; answers and assists callers via telephone calls, utilizing a company-provided cellular telephone.
• Promotes individual and organizational continuous learning and performance improvement by modeling own self-directed professional development and remaining current on methods, tools, and resources needed to improve job performance; demonstrates that new learning gained from professional development is incorporated into practice.
• Maintains compliance with Conflict-Free Case Management rules, as well as all applicable rules and regulations within the Arkansas PASSE Medicaid Provider Manual, Section II, 240.000, the Arkansas PASSE Care Coordination Agreement, Arkansas Insurance Department, Arkansas Medicaid, and other applicable Medicaid Manuals and updates.
• Maintains confidentiality and integrity of Arkansas Provider Coalition, complying with The Health Insurance Portability and Accountability Act (HIPAA) and Arkansas Provider Coalition policies.
• Operates a company-issued laptop computer with Microsoft Office/Microsoft 365 suite products, company-issued smart phone, and other communication and database software in the performance of essential job functions.
• Operates a personal automobile in the performance of essential job functions for travel to meetings, members' homes, provider offices, conferences, and training.
• Maintains a home office with reliable internet that supports standard home office equipment, free from common distractions, and ensures the security of company-issued assets and Protected Health Information (PHI).

Requirements

• One year of beginner-level experience with Microsoft Excel, Outlook, and Word, plus a bachelor’s degree in social work, psychology, sociology, another social science, or a health-related field; or
• One year of beginner-level experience with Microsoft Excel, Outlook, and Word, plus two years of college coursework in Social Work, Psychology, Sociology, another social science, or a health-related field, and one year of experience working with individuals with developmental, intellectual, and/or behavioral health disabilities, and/or substance use disorders.

Qualifications

• Knowledge of computer and business software applications, including databases, email, presentations, spreadsheets, word processing, and iPhone applications, essential for managing care plans and member communication.
• Knowledge of community and state resources to effectively integrate services into member care plans.
• Knowledge of computer filing and record-keeping systems to ensure accurate documentation of member information.
• Knowledge of standard office equipment and practices to facilitate efficient daily operations.
• Skills in utilizing computers with business software to develop, document, and manage Person-Centered Service Plans (PCSP) and electronic medical records (EMR).
• Skills in operating standard office equipment and an automobile for multitasking and effective member engagement.
• Skills in using an iPhone and relevant applications for communication and record management.
• Ability to maintain and secure electronic filing and record-keeping systems to protect member confidentiality and comply with HIPAA regulations.
• Ability to communicate effectively in English and/or Spanish with a diverse range of members, their families, and healthcare teams in various settings and formats.
• Ability to uphold confidentiality and integrity by adhering to HIPAA regulations and organizational standards in all aspects of care coordination.
• Ability to comply with Conflict-Free Case Management rules and Medicaid regulatory standards to ensure effective and ethical service provision.

Skills

• Knowledge of computer and business software applications, including databases, email, presentations, spreadsheets, word processing, and iPhone applications, essential for managing care plans and member communication.
• Knowledge of community and state resources to effectively integrate services into member care plans.
• Knowledge of computer filing and record-keeping systems to ensure accurate documentation of member information.
• Knowledge of standard office equipment and practices to facilitate efficient daily operations.
• Skills in utilizing computers with business software to develop, document, and manage Person-Centered Service Plans (PCSP) and electronic medical records (EMR).
• Skills in operating standard office equipment and an automobile for multitasking and effective member engagement.
• Skills in using an iPhone and relevant applications for communication and record management.
• Ability to maintain and secure electronic filing and record-keeping systems to protect member confidentiality and comply with HIPAA regulations.
• Ability to communicate effectively in English and/or Spanish with a diverse range of members, their families, and healthcare teams in various settings and formats.
• Ability to uphold confidentiality and integrity by adhering to HIPAA regulations and organizational standards in all aspects of care coordination.
• Ability to comply with Conflict-Free Case Management rules and Medicaid regulatory standards to ensure effective and ethical service provision.