Care Coordinator Transitions Team

2 weeks ago

Indianapolis, United States CICOA Full time
Job DescriptionJob Description

The Care Coordinator (CC) serves as an integral member of a Flourish Care Management team; team consists of a Supervisor, Care Managers (CM), Community Health Workers (CHW) and CCs working together to provide care management services and supports to individuals that CICOA serves. The CCs primary responsibility will be to assist their teams with individual-related needs by providing communication and follow up to enhance quality of care management services. The CC will work directly with the individual, family, CHW, CM and providers with the intention of creating an exceptional experience for individuals served by CICOA.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Customer Service

• Serves as an ambassador for CICOA’s Mission, Vision and Values when representing CICOA internally and externally.

• Role models CICOA’s commitment to ICARE (Integrity, Courage, Accountability, Respect, Excellence) values

• In all interactions, focuses on the exceptional experience

• Timely responses to client/family and other team members' needs and requests

• Displays positive beliefs and feelings regarding conducting adults and those with a disability

• Displays level of comfort with collaborating and performing home visits with older adults/those with a disability Teamwork and Communication

• Demonstrates CICOA’s communication expectations when interacting with others on CICOA’s behalf

• Interacts regularly with all members of the team to assure care coordination

• Participates in team coordination/case conferences for assigned participants

• Attends workshops, team and Departmental Meetings, General Staff meetings and trainings as directed by team supervisor

• Works with the CM, Administrative Coordinator, and CICOA Fiscal personnel to access client assistance or community transition funds, including purchase and delivery of items when necessary Care Delivery

• Completes assessments and care plan development tasks utilizing a person-centered approach

• Conducts home or phone visits to provide good care coordination and consistent support of the team

• Communicates effectively with individuals in their home or on the phone

• Remains composed and effective when faced with unexpected and uncomfortable situations

• Assists with the intra-departmental transitions of individuals by researching needed providers within our network

• Completes accurate, timely, comprehensive documentation

• Obtains needed medical and assessment information

• Schedules individual visits in accordance with departmental standard operating procedures

• Provides community resource referrals, participant advocacy, support, outreach, and follow-up

• Demonstrates good judgement and critical thinking skills in identifying client’s needs and escalating to the care team as required by departmental protocols

• Commits to an exceptional level of time management and organizational skills with the intention of obtaining desired outcomes.

• Assesses the needs and eligibility for funding streams in the community to provide linkage to needed services for clients including assistance with Medicaid (MA), Energy Assistance, Food Stamps, housing legal services and other community resources

• Aids with Request for Authorization service need

• Serves as a client’s advocate

• Assists clients in connecting with healthcare and community resources

• Collaborates with CM, Supervisor, and team members to offer positive strategies and comprehensive suggestions in service plan development. Technology

• Independently manages data entry into the document management system as well as documents appropriate information as required

• Acquires and maintains competence in use of program hardware and software applications

• Regularly utilizes technology as part of care delivery

• Utilizes and receives referrals through software for tracking purposes

SUPERVISORY RESPONSIBILITIES This job has no supervisory responsibilities.

QUALIFICATIONS To perform this job successfully, an individual must be able to perform the essential duties listed. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE High school diploma or equivalent required; computer experience required; email, Microsoft Office suite and internet. Two years relevant experience in a medical, care management or Medicaid/Medicare setting preferred. Associates Degree in Human Services, Psychology, Nursing, or related field preferred. Healthcare experience preferred. Relatable experience working with older adults highly preferred. Experience working with state agencies and/or with Medicaid approval process preferred.

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