Care Coordinator
6 days ago
We are seeking a skilled Care Coordinator to join our team at Commonwealth Care Alliance. In this role, you will work directly with assigned members to help them navigate the healthcare system and access necessary care.
Key Responsibilities:
- Maintain open lines of communication with CCA members and interact with them as needed, based on member preference and care plan recommendations
- Primary resource for members regarding health care benefits
- Collaborate with community-based PCPs/Specialists, as needed
- Ensure members have an interdisciplinary care team (ICT) composed of all the people key to managing member care
- Convenes the ICT for each member at least annually and as needed
- Ensures members have a current and up-to-date individualized care plan
- Supports member during transitions of care, pre and post discharge
- Assist members with entering service requests
- Assesses quality gap reports at each visit; collaborate with care team and PCP to close these gaps
- Performs joint visits with other care team members as appropriate to address complex care needs
- Documents using a Certified Enrollee Record, in an effective manner while strictly adhering to CCA policies and procedures
- Utilizing and depending on CCA internal resources, ensures that the plan of care is implemented in a timely manner
- Provide outreach to members via telehealth technologies (video, chat, etc.) as appropriate for care management services
- Active involvement in CCA projects/initiatives throughout the year
- Support needs for local/team/pod trainings or clinical seminars
- Assists CCA leadership with the development, refinement and enhancement of programs, initiatives, processes, policies, workflows, and projects
- Mentor for new care coordinators -- during and beyond their orientation period, if needed
- Support team need gaps at the discretion of Clinical Manager (i.e., intermittent support with team meeting or huddle facilitation, communicate updates to staff)
- Act as a role model to peers and support team members through change, set strong example of CCA's mission and model of care
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