Community Based Care Coordinator I - R10259-11

Job Summary

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

Essential Functions

• Understand and implement person-Centered thinking
• Facilitate the person-Centered planning process
• Affiliate with in-person centered care training to maximize the development of the Person-Centered Service Plan.
• Cook up 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
• Collaborate and consult with other professionals and community members to coordinate care and develop Person-Centered Service Plans
• Affiliate with ongoing communication with the internal complex clinical team
• Affiliate with educating members about their condition, medication and assist with any 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
• Affiliate 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 participating in information collection and assertive outreach, including home visits and telephone calls
• Affiliate with education of member/caregiver regarding healthcare access and benefits, and provide member/caregiver with health education and wellness materials
• Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
• Look for ways to improve the process to make the members experience with CareSource easier and share with leadership to make it a standard, repeatable process
• Perform any other job duties, as requested

Education And Experience

• A high school diploma or GED equivalent required
• A minimum of one (1) year of experience working with developmentally or intellectually disabled or behavioral health clients (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required

Competencies, Knowledge And Skills

• Intermediate proficiency level 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 & federal healthcare laws and regulations & all company policies regarding case management practices
• Strong advocate for members at all levels of care
• Strong understanding and respect of all cultures and demographic diversity
• Awareness of community & state support resources
• Critical listening and thinking skills
• Decision making and problem-solving skills
• Strong organizational and time management skills

Licenses And Certifications

• Must have valid driver’s license, vehicle and verifiable insurance

Employment Conditions

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential
• Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time
• Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of 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 our members

Compensation Range

$37,080.00 - $59,400.00

Competencies

• Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business

Working Conditions

• This is a mobile position, meaning that regular travel to different work locations, including homes, offices or other public settings, is essential
• Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time
• Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
• May be required to travel greater than 50% of 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 our members