Field Based Clinical Care Coordinator - Clark County, IN

About the role

Manage complex older adult members with medical and behavioral health needs.

Responsibilities

• Serve as the primary care manager and service coordinator, conducting comprehensive assessments of medical, behavioral, functional, cultural, and socioeconomic (SDoH) needs.
• Develop and implement personalized, person-centered care plans with clear goals and interventions.
• Collaborate with care teams, providers, and community resources to execute care plans.
• Provide referrals and linkages to internal and external support services, including housing, pharmacy, and behavioral health providers.
• Engage members face-to-face and via phone to promote appropriate service utilization and improve health outcomes.

Qualifications & Skills

• Master's Degree in Social Work or Bachelor's Degree with relevant case management experience with older adults or individuals with disabilities.
• 2+ years in long-term support services or working with older adults.
• Experience with behavioral health providers and community support organizations addressing SDoH.
• Proficiency in MS Office and ability to travel within the assigned territory.
• Residence in Indiana with reliable transportation and a valid driver's license.
• PREFERRED SKILLS: Certifications in Motivational Interviewing, Trauma-Informed Care, or Person-Centered Care, Experience in team-based care and serving individuals with co-occurring disorders, Bilingual abilities are a plus.

Additional Details

• The role involves travel up to 75%, telecommuting flexibility, and requires physical ability to visit multiple locations.
• Compensation ranges from $29.00 to $52.00 per hour, with comprehensive benefits.
• The position emphasizes equitable, inclusive care and adherence to organizational policies.

Pay

$29.00 to $52.00 per hour

Schedule

Travel required up to 75%

Benefits

Comprehensive benefits