Clinical Care Coordinator - Field Based

Responsibilities

• Serve as the primary care manager, developing individualized, person-centered care plans.
• Conduct comprehensive assessments covering medical, behavioral, functional, cultural, and social determinants of health.
• Collaborate with care teams, providers, and community resources to implement care plans.
• Provide referrals and linkage to internal and community-based services.

Qualifications & Skills

• Master's in Social Work or Bachelor's in Social Work, Psychology, or related field with 1+ years case management experience.
• 2+ years supporting older adults or with long-term support services.
• Experience with behavioral health providers and community resources addressing SDoH.
• Proficient in MS Office, with reliable transportation and Indiana residency.

Additional Requirements

• Ability to travel up to 75%, work face-to-face and telephonically, and navigate multiple locations.
• Preferred: certifications in Motivational Interviewing, Trauma-Informed Care, bilingual skills, and experience in team-based care or managed care.

Key Attributes

• Compassionate
• Collaborative
• Adaptable
• Committed to equitable, quality care delivery.