Medical Care Coordinator I (002)

About the role

The Medical Care Coordinator I facilitates the care plan for the treatment episode, proactively monitors clinical quality, and facilitates timely discharge from the program. During the treatment episode, they coordinate the efforts of psychiatry, physiatry, psychology, nursing, PT, OT, SLP, Rec, SW, and integrate the family in the plan. They are responsible to facilitate real time communication from the treatment team to the external Nurse Case Manager, insurance adjustor, and external physicians serving the patient. They serve as an advocate and liaison for and on behalf of consumers' rights and benefits.

Responsibilities

• Ensure the consumer is assigned a complete treatment team as determined by their needs and physician orders and that their schedule is complete;
• Address any admission day medical, personal care, and rehabilitation needs;
• Verify that all priority evaluations are completed and findings are implemented to ensure a safe and comfortable transition for the consumer;
• Complete all required intake documentation;
• Obtain copies of all necessary documents for invoicing of services including identification, insurance plan, insurance cards and legal forms if not yet received;
• Work cooperatively with nursing and direct care staff;
• Ensure medical follow-up and care is provided including but not limited to scheduling and coordinating medical appointments and transportation, securing medical orders and treatment prescriptions at required intervals, and attending medical appointments when appropriate;
• Serves as the primary point of contact for outside parties such as physicians, rehabilitation nurses, adjustors, families/guardians, and other service providers;
• Keep all external parties informed, at their desired level and frequency, of the progress being made in the program;
• Portrays a positive, professional image of the program;
• Coverage of the consumer's medical chart to ensure that information is updated in a timely fashion, physician scripts for services are current, and written documentation conforms to our licensing and accrediting requirements;
• Utilizes tools and alerts within the EMR to facilitate team communication;
• Prepares reports that summarize the consumer’s treatment and plan as provided by the entire treatment team, and which can be presented to funders to request funding extensions for the consumer to continue services.

Requirements

• Bachelor’s degree in Human Services, Social Work, or Psychology with two years of case management experience or relevant master’s degree with less than two years case management experience either pre/post master’s degree attainment.
• LLBSW, LBSW, LLMSW, LMSW preferred.
• Demonstrated verbal/written communication skills.
• Ability to interface effectively with professionals from outside agencies.
• Ability to articulate and actively support the mission of the corporation to various audiences.
• Excellent organizational and problem solving skills.

Qualifications

• Valid driver’s license and driving record acceptable according to HN policy.
• Ability to work with little supervision or direction.

Skills

• Verbal/written communication skills.
• Interface effectively with professionals from outside agencies.
• Support the mission of the corporation to various audiences.
• Organizational and problem solving skills.

Benefits

Regular and predictable attendance is an essential requirement of this position.

Pay

Details on pay will be provided upon interview.

Schedule

Details on schedule will be provided upon interview.