Community Care Coordinator

Duties And Responsibilities

• Under the direction of a Medical Case Manager, performs ongoing care coordination activities.
• This includes:
• Conducting outreach
• Completing HRA and initial health screening
• Providing telephonic initial screen of non-medical needs, coordinates services and makes appropriate referrals
• Providing information to members/clients and/or their families regarding social and community support
• Assist with calls to various social service agencies as appropriate
• Off site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required
• Supporting members to obtain access to care and services and making appointments
• Aid in obtaining medically necessary DMED
• Managing a case load of identified and/or assigned members
• Providing comprehensive documentation of all activities and contacts in CMAQE or appropriate software system
• Aid in the development and maintenance of community resource database
• Calculate cost savings that may result from interventions, where an alternative level of care, service or resource has been identified and/or arranged
• Identify, pursue opportunities for professional development
• Recommend and participate in the development of program improvements and QI activities
• Serve as resource to respond to questions from ancillary departments within Neighborhood
• Participate in community events and projects as assigned
• Provide cross coverage as assigned by Lead and/or Manager
• Participate in Outreach/Marketing activities as needed and appropriate
• Maintain up-to-date knowledge of resources in Rhode Island

Qualifications

• Associates Degree in human service related field preferred or equivalent years of background and experience to equal degree
• Three (3) to Five (5) years experience in medical or social services setting or minimum of six (6) months experience working in a position at Neighborhood Health Plan of Rhode Island
• Experience working with the needs of individuals with behavioral health and/or long term care needs
• Strong oral and written communication skills
• Strong customer service orientation
• Strong interpersonal skills
• Strong organizational skills
• Ability to problem solve and work independently
• Strong collaborative skills and teamwork values
• Computer literacy with windows based programs
• Sound judgment
• Strong time management skills
• Ability to keep accurate records and prepare reports
• To maintain up-to-date knowledge of resources in Rhode Island