Care Coordinator I

Arkansas Provider Coalition•US AR Home Office, AR

4d•$20 - $24•Remote

About The Position

Arkansas Provider Coalition is hiring a full-time Care Coordinator I to coordinate services and support the health, safety, and well-being of assigned Arkansas Medicaid members. The position is remote/field-based, and candidates must reside in Arkansas. The Care Coordinator works with members, families, guardians, providers, state agencies, community organizations, and other care-team members to develop and maintain person-centered service plans, identify barriers to care, coordinate services, and connect members with resources. The role includes regular member contact and required in-person visits, including at least quarterly visits and more frequent contact for complex cases. The coordinator manages a field-based schedule, travels to assigned locations, documents activities in an electronic medical record, monitors member needs and performance requirements, and supports compliance with applicable laws, regulations, contractual obligations, and APC policies. The position reports to the Care Coordination Supervisor. The position is primarily performed from a secure, quiet home office, with regular travel to member homes, provider offices, community locations, meetings, trainings, and other assigned locations. Candidates must have a valid Arkansas Class D driver’s license and access to a reliable, properly licensed and insured automobile for business travel. Pre-employment screenings may include background, drug and alcohol, motor vehicle, maltreatment registry, sex offender status, and education, certification, or licensure checks.

Requirements

Bachelor’s degree in social work, psychology, sociology, another social science, or a health-related field; or two years of college coursework in one of these fields plus one year of experience working with individuals with developmental, intellectual, and/or behavioral health disabilities and/or substance use disorders; or an equivalent combination of education and relevant professional experience.
Real-world experience navigating healthcare, behavioral health, developmental disability, Medicaid, waiver, or social service systems is sought.
Knowledge of healthcare, behavioral health, IDD, Medicaid, waiver, and/or community-based services.
Familiarity with Arkansas community and state resources.
Ability to navigate complex service systems and identify appropriate resources for members.
Strong advocacy, member-engagement, written communication, and verbal communication skills.
Ability to establish effective working relationships with members, families, providers, state agencies, and community partners.
Critical thinking, problem-solving, assessment, and practical solution-development skills.
Strong organization and time-management skills, including managing multiple priorities and meeting documentation and regulatory deadlines.
Ability to work independently and effectively as part of a collaborative team.
Proficiency with Microsoft Word, Excel, Outlook, Microsoft 365, electronic medical records, and other business technology.
Ability to maintain accurate electronic records and protect confidential member information.
Ability to adapt to changing regulations, member needs, technology, and organizational priorities.
Valid Arkansas Class D non-commercial driver’s license before employment, maintained throughout employment.
Access to a properly licensed, insured, reliable automobile for assigned business travel, and proof of current valid automobile insurance before employment and thereafter upon request.
Ability to travel reliably to member homes, provider offices, community locations, and meetings as required.
Must not be excluded or debarred under applicable state or federal law, regulation, or rule, or be ineligible or prohibited from enrollment as a Medicaid provider.
Must complete applicable pre-employment screenings, which may include criminal background investigation, drug and alcohol screening, motor vehicle report, child and adult maltreatment registry checks, sex offender status checks at all levels, and verification of education, certifications, and licensure.

Nice To Haves

Experience as a Qualified Behavioral Health Professional (QBHP) or Licensed Practical Nurse (LPN).
Experience in care coordination or case management.
Experience in behavioral health services, intellectual and developmental disabilities (IDD), mental health, or substance use services.
Experience with Arkansas Medicaid waiver programs, DHS, DCFS, child welfare, or family services.
Experience in community-based services, healthcare, social services, discharge planning, transitions of care, community health, or home and community-based services.
Experience working with individuals with complex medical, behavioral health, or social needs.
Direct experience with Arkansas Medicaid programs, state agencies, waiver services, or community-based behavioral health and developmental disability populations.

Responsibilities

Develop, document, evaluate, monitor, and modify assigned members’ annual Person-Centered Service Plans based on their preferences, needs, strengths, goals, and choices.
Coordinate services across areas such as behavioral health, community resources, crisis services, IDD and waiver services, financial resources, mental and physical health, and substance use services.
Advocate for members and serve as a consistent point of contact for members, families, guardians, providers, and others in the member’s circle of support.
Assess barriers to care and identify appropriate resources, services, and community supports.
Help members understand and exercise choices regarding available services and supports.
Monitor service delivery and member needs, modifying person-centered plans when needs, circumstances, or preferences change.
Maintain regular contact with members, families and guardians, providers, community resources, stakeholders, and other professionals involved in care.
Conduct required in-person member visits, including at least quarterly visits and more frequent contact for complex cases; provide telephone and virtual outreach using company-provided technology.
Build trusting relationships while maintaining appropriate professional boundaries, and provide education, support, advocacy, and assistance navigating healthcare and community systems.
Work collaboratively to resolve barriers that affect members’ access to services.
Collaborate with healthcare and behavioral health professionals, waiver providers, community organizations, state agencies, families, guardians, and other care-team members.
Connect members with appropriate community and state resources; participate in team meetings, case staffing, and other care coordination activities.
Communicate with internal and external stakeholders to promote continuity of care and support members during changes in services, providers, living situations, or other circumstances.
Document care coordination activities, member contacts, assessments, referrals, and service plans in the electronic medical record within required timeframes.
Maintain accurate and timely records in accordance with APC policies, contractual requirements, HIPAA, and applicable state and federal regulations.
Maintain compliance with Conflict-Free Case Management requirements and applicable Arkansas PASSE, Medicaid, Arkansas Insurance Department, and other regulatory standards.
Monitor assigned member metrics and performance requirements; protect member privacy and confidential information, including protected health information.
Remain current on regulatory changes, community resources, Medicaid requirements, and care coordination practices; participate in continuous quality improvement efforts.
Use company-issued technology and maintain a secure home office with reliable internet and safeguards for confidential information.
Travel regularly to member homes, provider offices, community locations, meetings, trainings, and other assigned locations, and manage a field-based schedule while balancing member needs, appointments, documentation, and deadlines.