Field Based Clinical Care Coordinator - Wayne County, IN

About the role

The Integrated Care Coordinator manages complex, high-risk members, primarily older adults, focusing on medical, behavioral, and social needs to promote quality care and appropriate service utilization.

Responsibilities

• Serve as the primary care manager and service coordinator for members with diverse health needs
• Conduct comprehensive assessments covering medical, behavioral, functional, cultural, and socioeconomic factors
• 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 linkage to internal and external support services

Qualifications & Skills

• Master's in Social Work or Bachelor's in Social Work, Psychology, Counseling, or related fields with relevant case management experience
• At least 2 years of experience supporting older adults or with long-term services
• Experience working with behavioral health providers and addressing social determinants of health
• Proficiency in MS Office and reliable transportation with a valid US driver's license
• Ability to travel within the assigned territory

Preferred Skills

• Training 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 Information

The role involves face-to-face and telephonic engagement with members, requires physical mobility to visit locations, and offers competitive pay, benefits, and opportunities for growth. The position supports equitable, community-focused healthcare delivery.