Care Coordinator

2 months ago

Pittsfield, United States Center for Human Development Full time

SIGN ON BONUS AVAILABLEProviding evidence-based care coordination and management, ICP care coordinators ensure that more people in our communities can benefit from all exceptional health services.Job Expectations:Collaborates with the Enrollee's care team (registered nurse, PCP, PCA, medical director, behavioral health specialists, ACO's, DMH, CBHI, CBHC, medical supply stores, social workers, etc.)Encourages Enrollee to follow treatment recommendations through support, health and wellness education, and advocacy.Links enrollees with resources and encourage them to use them to their advantage.Utilizes recovery strategies such as Motivational Interviewing, Harm Reduction and Strength Based approaches to support enrollees in attaining stated goals.Conducts visits in the home or in other locations in the community to provide guidance, support, education and coaching. Follow-up by telephone as necessary.Accompany/transport enrollees to medical/mental/behavioral health appointments as requested; facilitates effective navigation of the health care systemLTSS Care Coordinators work with children ages 3 years old all the way up to adults who are 65 years old.Assists Enrollees in having an annual primary care visit.Completes Enrollee driven assessments, health screeners, Releases of Information and care plans annually. Complete daily activity notes in our electronic medical record.Ensures electronic medical record is up to date.Completes a face-to-face visit every 90 days.Ensures that Enrollee has an annual oral health evaluation.Participates in multi-disciplinary care team meetings.Ensures monthly contact with all enrollee's on caseload.Attends care team meetings, supervisions, Team meetings, MVP meetings, staff meetings, trainings, and various other meetings in regards to health care management.Manage a large caseloadMaintain the ability to adapt and remain flexible with changing MassHealth, EOHHS, and CMS requirements and ongoing clarifications of the Community Partner ProgramTransports enrollees to connect with local community resources and to attend healthcare appointments.Qualifications:Must have a vehicle available for work purposes that is registered and insuredMust have a valid and active driver's licenseBilingual and Bachelor Degree level applicants are encouraged to applyPay Range:$21 to $23.25Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

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