Care Coordinator
2 weeks ago
About the Role:
The Care Coordinator at Commonwealth Care Alliance will be responsible for working directly with assigned members to help them navigate the healthcare system. This includes ensuring members know how to get services and answering their questions on obtaining needed care. The role requires effective communication with members, either in-person or via other methods, to promote engagement, establish trust, and respond to concerns and questions.
Key Responsibilities:
- Maintain open lines of communication with members and interact with them as needed, based on member preference and care plan recommendations.
- Be the primary resource for members regarding healthcare 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.
- Convene the ICT for each member at least annually and as needed.
- Ensure members have a current and up-to-date individualized care plan.
- Support members during transitions of care, pre and post discharge.
- Assist members with entering service requests.
- Assess quality gap reports at each visit and collaborate with the care team and PCP to close these gaps.
- Perform joint visits with other care team members as appropriate to address complex care needs.
- Document using a Certified Enrollee Record, in an effective manner while strictly adhering to CCA policies and procedures.
Requirements:
The ideal candidate will have:
- An Associate's degree or clinical license (i.e., LPN, Medical Assistant) required, Bachelor's degree preferred.
- Clinical license (i.e., LPN, Medical Assistant) required if no Associate's degree.
- 1-2 years caring for patients/members with complex medical, behavioral health, and social needs required.
- 5+ years' experience working in healthcare preferred.
- Experience with a Medicare Advantage population preferred.
- Experience with Substance Use Disorders preferred.
Working Conditions:
The Care Coordinator will work in various locations, including residential and community sites, and will be required to travel to members' homes as needed. A valid driver's license with no restrictions is required, as well as the ability to be active and mobile across assigned states.
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