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Community Care Coordinator
2 months ago
Schedule: Monday through Friday, with flexible hours.
Location: South Bay Region.
Work Environment: Hybrid model with a balance of remote and field responsibilities.
Position Overview:
The role of the Case Manager is to advocate for and empower clients while providing essential education and support.
Key Responsibilities:
- Oversee clients transitioning from healthcare facilities to their homes, ensuring effective care coordination and management.
- Process referrals from insurance providers.
- Meet the necessary credentialing standards within healthcare systems.
- Utilize motivational interviewing techniques during client interactions.
- Conduct follow-up home visits post-discharge to ensure client well-being.
- Perform assessments via home visits or phone consultations, and develop care plans in accordance with healthcare agreements.
- Promptly follow up on care coordination efforts.
- Identify and facilitate client access to support systems, including primary care appointments after hospitalization.
- Establish a network of community resources and social service organizations.
- Maintain operational systems to support program effectiveness.
- Collaborate with both internal and external teams to enhance care transitions.
- Manage crisis situations with appropriate interventions.
- Comply with all relevant legal and regulatory standards.
- Foster positive relationships within the community and build referral networks.
- Ensure effective communication:
- Maintain clarity in verbal and written interactions.
- Address conflicts and unique situations effectively.
- Encourage team cohesion and positive relationships.
- Document and communicate promptly.
- Exhibit professional work habits:
- Organize and prioritize tasks efficiently.
- Complete all assignments within established timelines.
- Keep client records current and accessible.
- Utilize resources effectively.
- Adhere to departmental expectations and productivity benchmarks.
- Demonstrate initiative and adaptability in a changing environment.