Care Coordinator I - Region 5 (Pulaski, Faulkner, Lonoke, & Saline County)

Arkansas Provider Coalition

13d•Remote

About The Position

Arkansas Provider Coalition (APC) provides Care Coordination for Summit Community Care, helping individuals with developmental disabilities and/or behavioral health diagnoses maintain their health and independence. Working with Arkansas Medicaid, APC ensures patient-centered care through service referrals, follow-ups, and navigation. The care process includes assessment, care planning, medication management, service coordination, and monitoring adherence to ensure timely access to quality, cost-effective care. Founded in 2017, APC is known for high-quality, individualized care across Arkansas. Core values include person-centered services, protection from harm, and the right to non-discrimination, dignity, and respect. Our mission at Arkansas Provider Coalition is to provide Care Coordination that ensures the highest quality services are provided to APC members and that services are coordinated and appropriately delivered by specialized service providers. APC is committed to ensuring there is continuity of care across all services provided to the members of Summit Community Care. APC connects its members to community services and supports that enable them to participate in the life of their communities through care coordination, advocacy, and responsiveness. APC and each of its employees value each member served and are committed to addressing each member’s needs in the most respectful and effective manner possible.

Requirements

One year of beginner-level experience with Microsoft Excel, Outlook, and Word, plus a bachelor’s degree in social work, psychology, sociology, another social science, or a health-related field; or One year of beginner-level experience with Microsoft Excel, Outlook, and Word, plus two years of college coursework in Social Work, Psychology, Sociology, another social science, or a health-related field, and one year of experience working with individuals with developmental, intellectual, and/or behavioral health disabilities, and/or substance use disorders.
Equivalent combinations of education and experience may also be considered.
Knowledge of computer and business software applications, including databases, email, presentations, spreadsheets, word processing, and iPhone applications, essential for managing care plans and member communication.
Knowledge of community and state resources to effectively integrate services into member care plans.
Knowledge of computer filing and record-keeping systems to ensure accurate documentation of member information.
Knowledge of standard office equipment and practices to facilitate efficient daily operations.
Skills in utilizing computers with business software to develop, document, and manage Person-Centered Service Plans (PCSP) and electronic medical records (EMR).
Skills in operating standard office equipment and an automobile for multitasking and effective member engagement.
Skills in using an iPhone and relevant applications for communication and record management.
Ability to maintain and secure electronic filing and record-keeping systems to protect member confidentiality and comply with HIPAA regulations.
Ability to communicate effectively in English and/or Spanish with a diverse range of members, their families, and healthcare teams in various settings and formats.
Ability to uphold confidentiality and integrity by adhering to HIPAA regulations and organizational standards in all aspects of care coordination.
Ability to comply with Conflict-Free Case Management rules and Medicaid regulatory standards to ensure effective and ethical service provision.
Must possess a valid Arkansas Class D (Non-Commercial Vehicle) Driver's License before employment and maintain licensure for the duration of employment in this position.
Must have access to a properly licensed and insured, reliable automobile for reimbursable assigned business travel.
Must provide proof of current, valid automobile insurance before employment in this position and thereafter upon request; must maintain current, valid automobile insurance for the duration of employment in this position.
Must reliably commute to/from member homes, provider offices, and meeting spaces as needed.
Cannot be excluded or debarred under any state or federal law, regulation, or rule, or ineligible or prohibited to enroll as a Medicaid provider.
This position requires one or more of the following pre-employment screenings: criminal background investigation drug and alcohol screening motor vehicle report check child maltreatment registry adult maltreatment registry sex offender status check – all levels verification of educational credentials, certifications, licensures

Nice To Haves

Maintain APC's culture of C.A.R.E in all aspects of your work to meet the needs of the business and members. This includes coordinating efforts, advocating for needs, relating to individuals and equipping them for the tools for success. Each employee upholds this mission through the following competencies: Communication Skills Person-Centered Focus Interpersonal Skills/Team Building Taking Initiative Organization and Planning Analytical/Problem Solving

Responsibilities

Develops, documents, evaluates, monitors, and modifies the assigned members’ annual Person-Centered Service Plan (PCSP) on an ongoing basis, including member choices; the care plan may include, but is not limited to, the following areas of service: Behavioral Health, Community Resources, Crisis Safety, IDD/Waiver, Financial Information, Mental Health, Physical Health, and Substance Abuse.
Ensures that members’ health, safety, and service needs are met by working directly with the individual members, their families/guardians, their providers, and other members of their circle of support.
Maintains monthly contact with members, their families/guardians, providers, community resources, stakeholders, and other professionals in the members care team.
Conducts in-person visits at least once every quarter, with more frequent monthly visits for complex cases.
Maintains contact via telephone at least once a month and utilizes virtual meetings through a company-provided laptop equipped with communication and database software.
Documents work activities and member information into the electronic medical records system (EMR) within twenty-four hours according to APC policies regarding documentation.
Complies with the core metrics established for assigned members according to APC policies and regulatory standards.
Answers questions and provides information over the telephone, email, and in person; answers and assists callers via telephone calls, utilizing a company-provided cellular telephone.
Promotes individual and organizational continuous learning and performance improvement by modeling own self-directed professional development and remaining current on methods, tools, and resources needed to improve job performance; demonstrates that new learning gained from professional development is incorporated into practice.
Maintains compliance with Conflict-Free Case Management rules, as well as all applicable rules and regulations within the Arkansas PASSE Medicaid Provider Manual, Section II, 240.000, the Arkansas PASSE Care Coordination Agreement, Arkansas Insurance Department, Arkansas Medicaid, and other applicable Medicaid Manuals and updates.
Always maintains confidentiality and integrity of Arkansas Provider Coalition, complying with The Health Insurance Portability and Accountability Act (HIPAA) and Arkansas Provider Coalition policies.
Operates a company-issued laptop computer with Microsoft Office/Microsoft 365 suite products, company-issued smart phone, and other communication and database software in the performance of essential job functions.
Operates a personal automobile in the performance of essential job functions for travel to meetings, members’ homes, provider offices, conferences, and training.
Maintains a home office with reliable internet that supports standard home office equipment, free from common distractions, and ensures the security of company-issued assets and Protected Health Information (PHI).
Tasks may be performed in various locations, including the home office, member homes, provider offices, APC corporate office, car, and public areas.