Clinical Care Coordinator

Key Responsibilities & Competencies

• Facilitate admission to care management services and discharge from care management services.
• Apply the case management process to guide service delivery.
• Develop and maintain individualized plans of care, including desired outcomes.
• Cookordinate services and supports to ensure plan implementation and compliance with contractual and regulatory requirements.
• Monitor ongoing services, utilization, and cost-effectiveness; recommend plan modifications as needed.
• Evaluate desired versus actual outcomes and document progress.
• Identify and recommend cost-effective alternatives to care.
• Serve as a clinical resource to community service providers.
• Maintain ongoing communication with clients, families, and healthcare team members.
• Convene, attend, and actively participate in multidisciplinary team meetings.
• Deliver services through a combination of on-site visits and virtual/remote engagements.
• Maintain accurate, timely, and complete care management records.
• Document client interactions in the client database within 48 hours of contact.
• Ensure compliance with HIPAA and all applicable professional standards.

Qualifications

• Bachelor of Science in Nursing (BSN) with active Registered Nurse (RN) license or Master's degree in social work (MSW) with active LMSW or LCSW-C license.
• Preferred: CCM (Certified Case Manager) certification within two years of hire.
• Minimum three (3) years of professional experience in one or more of the following: Pediatric intensive care nursing, Ambulatory health care, Rehabilitation nursing, Clinical social work in a community-based setting with individuals with complex healthcare needs.
• Demonstrated clinical competence and ability to work independently with minimal supervision.
• Minimum three (3) years of professional experience in one or more of the following: Pediatric intensive care nursing, Ambulatory health care, Rehabilitation nursing, Clinical social work in a community-based setting with individuals with complex healthcare needs.
• Active state licensure and current malpractice insurance (maintained at all times).
• Maintenance of applicable professional certifications (e.g., CCM, RN, LCSW-C).
• Valid driver's license, reliable transportation, and proof of automobile insurance.
• Ability to travel throughout Maryland.
• Designated home office meeting all HIPAA requirements.
• High-speed internet access.
• Proficiency with Microsoft Office Suite (Word, Excel, Access, Outlook), databases, and remote communication/documentation tools.
• Excellent organizational, prioritization, and interpersonal skills.