Care Coordinator NW BH Complex Care
About The Position
The Care Coordinator provides specialty service care coordination to members, ensuring appropriate services are delivered by specialty providers and continuity of care across services. The role is responsible for the total care plan, encompassing all services and plans related to beneficiaries, and provides case management in compliance with Conflict Free Case Management rules. The position assists members with healthcare needs, provides tailored health education and coaching, develops Person-Centered Support Plans (PCSPs), and coordinates care and resources across providers and community services. The Care Coordinator also supports performance guarantees, communicates with internal and external customers, and performs other assigned duties.
Requirements
- High school diploma or equivalent.
- Bachelor’s degree in social science or a health-related field, or at least one year of experience caring for developmentally or intellectually disabled or behavioral health clients.
- Valid driver’s license and automobile insurance.
- Ability to determine the approach, resources, and goals needed to meet business objectives and member needs.
- Ability to analyze and translate medical and clinical diagnoses and procedures into designated numerical codes.
- Ability to handle multiple priorities at once.
- Excellent written and verbal communication skills.
Responsibilities
- Assist members with healthcare needs by ensuring providers and services work together to improve member health.
- Provide health education and coaching tailored to issues identified within treatment and service plans.
- Develop the Person-Centered Support Plan (PCSP) and provide choices for members in the process.
- Ensure compliance with the PCSP and assist with resources or barriers to accessing treatment.
- Coordinate with healthcare providers for diagnostics, ambulatory care, and hospital services.
- Assist members with social determinants of health, including access to exercise and healthy food.
- Promote health-focused activities for patients and their community, including outreach, quality improvement, and patient panel management.
- Coordinate community-based management of medication therapy.
- Participate in staff meetings and clinical conferences.
- Ensure performance guarantees are met or exceeded.
- Interface with external and internal customers to ensure optimal service efficiency.
- Perform other duties and responsibilities as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
