Care Coordinator

4 weeks ago


Étreux, Hauts-de-France, United States Commonwealth Care Alliance Full time
Job Summary

We are seeking a highly skilled and compassionate Care Coordinator to join our team at Commonwealth Care Alliance. As a key member of our care management dyad, you will work directly with assigned CCA members to help them navigate the healthcare system, ensuring they receive the necessary services and support.

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 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; collaborate with 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
  • Utilizing and depending on CCA internal resources, ensure 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
  • Assist 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
Working Conditions

Work locations include residential and community sites. Must be willing and able to travel to member's homes in addition to working in the local CCA office as needed. Valid driver's license with no restrictions. Ability to be active and mobile across state assigned to work.

Qualifications
  • 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
Required Knowledge, Skills & Abilities
  • Experience in customer-facing role
  • Strong communication skills
  • Conflict management skills
  • Organizational abilities
Language(s)

English required, bilingual preferred


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