Care Coordinator

Brightli•Indianapolis, IN

12d•Hybrid

About The Position

Are you passionate about helping individuals navigate the healthcare system and connecting patients with the services and resources they need to live healthier lives? Join our team as an Care Coordinator, where you’ll play an important role in coordinating behavioral health and primary care services through an integrated care team model. You’ll work closely with patients, families, healthcare providers, community partners, and internal service teams to identify barriers to care, coordinate services, promote wellness, and support positive health outcomes. The Integrated Care Coordinator will use patient data and health screenings to identify individuals who may benefit from additional support, develop and coordinate shared plans of care, facilitate referrals, assist with insurance and benefit navigation, and advocate for patient-centered healthcare decisions. The ideal candidate is organized, compassionate, detail-oriented, and comfortable working across multiple healthcare systems and electronic medical records. This role is an excellent opportunity for someone who enjoys building relationships and helping patients successfully navigate complex healthcare and social service systems.

Requirements

Bachelor's degree in Social Work (BSW) or a closely related healthcare, behavioral health, human services, or public health field is required.
Strong understanding of healthcare navigation, care coordination, and patient advocacy principles.
Working knowledge of Medicaid, Medicare, Marketplace insurance plans, commercial insurance, and applicable benefits and services.
Knowledge of behavioral health and primary care services and how they intersect within an integrated care model.
Ability to identify barriers to healthcare access and develop appropriate solutions in collaboration with patients and care teams.
Strong organizational and time-management skills with the ability to manage multiple patients, referrals, appointments, and follow-up activities.
Excellent verbal and written communication skills with the ability to communicate effectively with patients, families, healthcare professionals, and community partners.
Ability to explain healthcare information and instructions clearly and respectfully to individuals with varying levels of health literacy.
Strong interpersonal and relationship-building skills with a patient-centered approach.
Ability to work effectively as part of a multidisciplinary team while also working independently.
Proficiency with electronic medical records, databases, Microsoft Office, and other healthcare technology platforms.
Ability to accurately enter, retrieve, track, and maintain confidential patient information across multiple systems.
Strong attention to detail and commitment to accurate and timely documentation.
Ability to prioritize competing responsibilities and meet established deadlines.
Demonstrated ability to exercise sound judgment when handling sensitive patient information and healthcare concerns.
Commitment to cultural humility, health equity, patient empowerment, and trauma-informed care.
Ability to maintain professional boundaries and protect patient confidentiality.
Ability to comply with HIPAA, infection control, safety, and organizational policies and procedures.
Successful completion of background check including criminal record, driving record, abuse/neglect, and fingerprint check, as applicable.
Completion of New Hire Orientation at the beginning of employment.
Completion of all required training, including Relias, at the beginning of employment and annually thereafter.
Current driver's license, acceptable driving record, and current auto insurance, if required for the assigned position.
Maintain required professional licenses and certifications, if applicable.
Maintain compliance with HIPAA, confidentiality, privacy, security, infection control, and organizational policies.
Complete all required clinical, compliance, safety, and professional development training.
Demonstrate competency in applicable electronic medical record systems, databases, and other technology platforms.
Comply with all applicable federal, state, payer, accreditation, and organizational requirements.

Nice To Haves

Certified Medical Assistant (CMA) or Licensed Practical Nurse (LPN) credential is preferred but not required.
Three (3) years of experience in healthcare, behavioral health, care coordination, case management, patient navigation, or a related field is preferred.
Experience working with individuals who have complex medical, behavioral health, or social service needs is preferred.
Experience working with Medicaid, Medicare, Marketplace plans, and/or commercial insurance benefits is highly desirable.
Experience working with Managed Care Entity (MCE) plan benefits is highly preferred.
Experience working within integrated healthcare or multidisciplinary care models is preferred.
Certified Medical Assistant (CMA) or Licensed Practical Nurse (LPN) certification/licensure is preferred but not required.

Responsibilities

Identify high-risk patients through data review, population health reports, and applicable screening tools and proactively engage patients in care.
Administer, document, and maintain data from applicable behavioral health and primary care screenings.
Complete comprehensive assessments of patients' medical and behavioral health needs, family support systems, and eligibility for available resources.
Educate patients and families regarding diagnostic procedures, disease management, nutrition, health maintenance, wellness, and available healthcare resources.
Provide patient education materials and communicate physician recommendations, instructions, and treatment information in an understandable manner.
Participate in the development of shared plans of care with interdisciplinary team members and safely coordinate implementation of established care plans.
Coordinate care between patients, families, primary care providers, behavioral health professionals, specialists, community organizations, and other internal and external partners.
Schedule integrated care appointments, diagnostic procedures, and follow-up services in accordance with established protocols.
Coordinate referrals to specialty providers and follow up to promote patient attendance, completion of recommended services, and timely return to care.
Coordinate the exchange and retrieval of clinical information and test results between the organization and specialty providers.
Support discharge planning and transitions of care to promote continuity and reduce gaps in services.
Review and maintain patient records, charts, care plans, referrals, and other pertinent clinical information.
Document patient interactions, care coordination activities, referrals, outcomes, and other required information accurately and within established timeframes.
Enter and coordinate clinical and administrative data across multiple electronic medical record systems, databases, and tracking platforms.
Respond to patient treatment-related telephone calls and appropriately triage or refer questions to the appropriate healthcare professional.
Identify barriers to healthcare access and communicate concerns and needs effectively to the interdisciplinary care team.
Advocate for patients by incorporating their preferences, goals, and desired healthcare choices into care coordination activities.
Assist patients with navigating Medicaid, Medicare, Marketplace plans, and commercial insurance benefits and services.
Maintain current knowledge of applicable healthcare coverage requirements, benefits, and available community resources.
Promote health and wellness through patient education, disease management support, and connection to appropriate resources.
Participate in community outreach activities, including public health fairs, educational events, and other organizational initiatives.
Represent Adult & Child Health professionally and positively within the community.
Maintain patient confidentiality and comply with HIPAA, privacy, security, infection control, and organizational policies and procedures.
Collaborate with multidisciplinary team members to identify opportunities for improving patient outcomes, access to care, and service delivery.
Monitor and follow up on patients requiring ongoing care coordination to promote engagement and continuity of services.
Participate in quality improvement, data collection, and other initiatives designed to improve integrated care outcomes.
Perform other duties as assigned by leadership.

Benefits

29 Days of PTO
Eligibility for HRSA Loan Repayment eligibility requirements
Employee benefits package - health, dental, vision, retirement, life, & more
Competitive 401(k) Retirement Savings Plan – up to 5% match for Part-Time and Full-Time employees
Company-paid basic life insurance
Emergency Medical Leave Program
Flexible Spending Accounts – healthcare and dependent child-care
Health & Wellness Program
Employee Assistance Program (EAP)
Employee Discount Program
Mileage Reimbursement
Paid time off: full-time employees receive an attractive time off package to balance your work and personal life
Employee benefits package: full-time employees receive health, dental, vision, retirement, life, & more
Top-notch training: initial, ongoing, comprehensive, and supportive
Career mobility: advancement opportunities/promoting from within
Welcoming, warm, supportive: a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness