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Care Coordinator

2 months ago


Baltimore, Maryland, United States Health Care For the Homeless Inc Full time
Job Summary

We are seeking a highly skilled and compassionate Care Coordinator to join our team at Health Care for the Homeless Inc. As a key member of our care management team, you will play a vital role in delivering and overseeing care management services for medically and socioeconomically complex patients.

Key Responsibilities
  • Case Management: Manage a caseload of high-risk patients, providing complex care coordination, including referrals to specialists, transition care management, and communication across care team members.
  • Patient Assessment: Assess and address the physical, functional, social, psychological, environmental, learning, and financial needs of patients.
  • Care Planning: Develop and review registries regularly and coordinate with external and internal providers regarding health management to inform and support care plans.
  • Health Education: Deliver health education and counseling, drawing upon the individual's strengths and motivation, to explore lifestyle choices, preferences, and safety concerns.
  • Documentation: Complete documentation within client's electronic health record in a manner that is easy to understand and in accordance with established formats and required timeframes.
Requirements
  • Education: Bachelor's Degree from an approved School of Nursing or Master's in Social Work.
  • Licensure: Licensed in Maryland as a Registered Nurse or Licensed Clinical Social Worker (LCSW-C), strongly preferred.
  • Experience: Two years of clinical nursing/social work experience required. Two years of case management/care coordination experience strongly preferred.
Preferred Qualifications
  • Experience working with individuals experiencing homelessness and/or behavioral health disorders.
  • Strong organizational and time management skills.
  • Able to work well with clients from diverse backgrounds.
What We Offer

As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and contribute to the mission of Health Care for the Homeless Inc.