Field Based Clinical Care Coordinator - Allen County, IN

About the role

As part of a care management team who will manage complex members, the Integrated Care Coordinator will be the primary care manager for a panel of older adult members with a variety of medical and/or behavioral health needs. Care coordination activities will focus on supporting members' medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

Schedule & Location

• Work Schedule: Monday through Friday 8:00 am to 5:00 pm
• Location: Allen County, Indiana and surrounding areas
• Local travel up to 75% and mileage is reimbursed at current government rate
• If you live within the state of Indiana and can travel to Allen County, IN and surrounding counties, you will have the flexibility to telecommute* as you take on some tough challenges

Primary Responsibilities

• Serve as primary care manager and service coordinator for high medical risks / needs members with comorbid behavioral health needs
• Engage members face-to-face and/or telephonically to complete comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural and socioeconomic (SDoH) needs
• Develop and implement individualized, person-centered care plans and service plans inclusive of goals, opportunities and interventions/services aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting the members where they are
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide referrals and linkage as appropriate and accepted by members (may include internal consulting opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)

Required Qualifications

Must possess one of the following:

• Master's Degree in Social Work
• Bachelor's Degree in Social Work, Psychology, Special Education, Counseling, or relevant degree with at least 1+ years of case management experience with older adults, individuals with disabilities or those with serious mental illness
• 2+ years of experience in long-term support services or working with older adults
• 1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
• 1+ years of experience with MS Office, including Word, Excel and Outlook
• Ability to travel 75% of the time within assigned territory to meet with members and providers
• Reside in Indiana
• Access to reliable transportation & possess a valid US driver's license

Preferred Qualifications

• Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
• Experience working in team-based care
• Experience in serving individuals with co-occurring disorders (both mental health and substance use disorders)
• Background in Managed Care
• Bilingual in Spanish or other language specific to market populations

Physical Requirements

• Ability to transition from office to field locations multiple times per day
• Ability to navigate multiple locations/terrains to visit employees, members and/or providers
• Ability to remain stationary for long periods of time to complete computer or tablet work duties

Pay

The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.