Care Coordinator-Medica

Keystone Community Services•Saint Paul, MN

26d•$46,000 - $50,000•Hybrid

About The Position

The Care Coordinator provides person-centered assessment, planning, facilitation, and advocacy to help adults age 65 or older with disabilities access services that meet their needs. The role serves members enrolled in Medica Health Plan (MSHO/MSC+) in Hennepin and Ramsey counties, monitors health and safety, intervenes when needed, evaluates service effectiveness, and collaborates with other professionals. The coordinator maintains a caseload of 60–75 clients, subject to change based on contract requirements or program direction. The position uses a hybrid work model, with three office days each week. Wednesdays are required in the office; the location for the remaining workweek is determined with the selected candidate and hiring team. Most of the position is case management: completing assessments in the community, facilities, or by telephone; developing and monitoring care plans with individuals; coordinating and documenting services; educating members about benefits; and maintaining required records and reports. Other duties include supporting and training colleagues, participating in meetings and trainings, and pursuing professional development and continuing education. The role requires frequent computer and telephone work, daily driving to client homes, and use of Microsoft Office, a copier, and a fax machine.

Requirements

Bachelor’s degree in Social Work or a related field.
Two years of experience working with Minnesota Home and Community Based Waiver Programs (AC, EW, CADI, DD, BI, CAC) or health plan care coordination experience with MSC+/MSHO.
Experience working with seniors or disabled adults in a community-based setting, including assessing strengths and needs and providing information, referrals, and follow-up with community resources.
Working knowledge of social work case management methods and cultural competence.
Excellent written and verbal communication skills.
Computer competence, including database and internet experience, and the ability to type proficiently.
Strong organizational skills, attention to detail, flexibility, teamwork, and ability to manage multiple demands each day.
Ability to work independently and use supervision appropriately.
Valid Minnesota driver’s license and current insurance; travel within Ramsey County and surrounding areas is required for home visits.
Must pass a background and motor vehicle check.

Nice To Haves

Minnesota Social Work licensure.
Three or more years of social work experience with Minnesota Medicaid Waiver programs (Alternative Care, Elderly Waiver, CADI, DD, or BI) or with a managed care organization providing MSHO or MSC+.

Responsibilities

Provide person-centered case management to help Medica Health Plan members locate and access waiver and community services that support their goals in areas such as medical care, social needs, and housing.
Complete assessments in the community, at facilities, or by telephone to determine level of care and individual needs; gather relevant social and medical history from the individual and key family members.
Develop person-centered care plans with individuals and monitor their needs.
Evaluate, facilitate, and monitor services and progress toward goals; work with individuals to adjust service plans as needed.
Educate members about benefits, including Medicare and Medicaid.
Act as a liaison with community and referral services.
Maintain records for continuity of service and reports to funding agencies.
Maintain accurate case notes documenting face-to-face and indirect interactions and correspondence involving the individual, support system, providers, and county or health plan staff.
Complete required paperwork, reports, and charting in an organized and timely manner.
Assist with training new case managers as needed and support team members in areas of expertise.
Participate in team, agency-wide, and health plan meetings and trainings.
Participate in ongoing professional growth and development, maintain appropriate professional conduct, and engage in supervision appropriately.
Obtain continuing education units needed to maintain professional licensure.
Perform other duties as assigned.