Field Care Coordinator - ALTCS - Maricopa County, AZ

Primary Responsibilities

• Engage members face-to-face and/or telephonically to complete a comprehensive needs assessment, including assessment of medical, behavioral, functional, cultural, and socioeconomic needs
• Develop and implement person-centered care plans to address needs including management of chronic health conditions, health promotion and wellness, social determinants of health, medication management and member safety in alignment with evidence-based guidelines
• Partner and collaborate with internal care team, providers, and community resources/partners to implement care plan
• Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
• Support proactive discharge planning and manage/coordinate Care Transition following ER visit, inpatient or Skilled Nursing Facility (SNF) admission
• Advocate for members and families as needed to ensure the member's needs and choices are fully represented and supported by the health care team

Required Qualifications

• 2+ years of case management experience serving members determined to have a Serious Mental Illness (SMI)
• 1+ years of case management experience serving elderly and/or persons with physical or developmental disabilities
• 1+ years of experience with MS Office, including Word, Excel, and Outlook

Preferred Qualifications

• Bachelor's degree in Psychology, Special Education, or Counseling
• CCM certification
• Experience working in team-based care
• Experience in Managed Care
• Social Work experience
• Bilingual

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 transport equipment to and from field locations needed for visits (ex. laptop, portable printer, other materials, etc.)
• 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 $23.89 to $42.69 per hour based on full-time employment. We comply with all minimum wage laws as applicable.