Community Based Care Coordinator I

With oversight from the care coordination team, the Community Based Care Coordinator I serves as the member concierge and single point of contact for assessment, person-centered planning, service coordination (funded or unfunded), disease management, and transitions between all levels of care.

Responsibilities

• Understand and implement person-centered thinking
• Facilitate the person-centered planning process
• Assist with in-person-centered care training to maximize the development of the Person-Centered Service Plan
• Coordinate services and health benefits for members who meet criteria
• Consult with members, families, and legally responsible people to discuss behavioral and physical health care needs
• Consult and collaborate with other professionals and community members to coordinate care and develop Person-Centered Service Plans
• Assist with ongoing communication with the internal complex clinical team
• Educate members about their condition, medication, and provide necessary instruction
• Monitor service delivery to ensure appropriateness of care and compliance with any waiver
• Complete psychosocial health care questionnaires and behavioral assessments by gathering information from the member, family, provider, and other stakeholders
• Monitor and evaluate Person-Centered Service Plan on an ongoing basis through member, family, provider, and stakeholder contact by modifying the plan as needed based on member choice
• Assist with care coordination activities to support member outcomes
• Maintain current and accurate documentation of contacts, treatment plans, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines
• Participate in meetings with providers to inform them of services and benefits available to members
• Engage members through information collection and assertive outreach, including home visits and telephone calls
• Educate members/caregivers regarding healthcare access and benefits, and provide health education and wellness materials
• Travel regularly to conduct member visits, provider visits, and community-based visits as needed to ensure effective administration of the program
• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies
• Identify process improvements to enhance the member experience with CareSource and share with leadership
• Perform other job duties as requested

Requirements

• High School Diploma or GED equivalent required
• Minimum of one (1) year of experience working with developmentally or intellectually disabled or behavioral health clients (e.g., discharge planning, case management, care coordination, and/or home/community health management)
• Intermediate proficiency with Microsoft Office, including Outlook, Word, and Excel
• Ability to communicate effectively with a diverse group of individuals
• Ability to multi-task and work independently within a team environment
• Knowledge of local, state, and federal healthcare laws and regulations, and all company policies regarding case management practices
• Strong advocacy for members at all levels of care
• Strong understanding and respect of all cultures and demographic diversity
• Ability to interpret and implement current research findings
• Awareness of community and state support resources
• Critical listening and thinking skills
• Decision-making and problem-solving skills
• Strong organizational and time management skills

Licensure and Certification

• Must have a valid driver’s license, vehicle, and verifiable insurance
• Employment is conditional pending successful clearance of a driver’s license record check and verified insurance
• Employment is conditional pending successful clearance of a criminal background check
• Must pass a pre-employment drug screen and annual drug screens thereafter
• Annual Influenza vaccination required during Influenza season (October 1 – March 31)

Working Conditions

• Mobile position requiring regular travel to different work locations, including homes, offices, or other public settings
• Exposure to weather conditions typical of the location
• May be required to stand and/or sit for long periods of time
• Must reside in the same territory assigned to work in; exceptions may be considered due to business need
• May be required to travel greater than 50% of the time to perform work duties
• Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
• Flexible hours, including possible evenings and/or weekends as needed to serve the needs of members

Pay

$37,080.00 - $59,400.00 annually. Salary is determined by a combination of education, training, experience, scope and complexity of the position, discretion and latitude required, and other external and internal data.

In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on every employee’s total well-being.