Clinical Care Coordinator

The Coordinating Center•Baltimore, MD

4d•Hybrid

About The Position

This is a full-time teleworking position with the expectation to be visiting clients in the Baltimore County/City region in Maryland. The Coordinating Center (The Center) has 40 years of experience supporting children, youth, adults and seniors with complex medical needs and disabilities statewide. Deeply committed to a person-centered approach and philosophy, The Coordinating Center helps individuals of all ages and abilities achieve optimal quality health, affordable healthcare and meaningful community life. Over the past four decades, we have become an industry expert in the delivery of person-centered, community-based care coordination services and population health.

Requirements

An active Maryland Social Work license (LMSW, LCSW-C) or Maryland Registered Nurse license (RN) is required.
Two years of case management experience is required.
Ability to obtain the CCM certification within two years of employment.

Nice To Haves

Pediatric experience preferred.

Responsibilities

Provide day-to-day care management and coordination services within the REM Program (Rare and Expensive Case Management).
Partner with clients' families/caregivers to create individualized plans of care with goals to help them remain independent in the community setting of their choice.
Facilitate the development of individualized client Care Management Plans, ensuring the inclusion of client/caregiver input.
Locate, coordinate, and navigate medical services and other home and community-based services for medically complex children and adults with disabilities and comorbid conditions inclusive of individuals experiencing financial, housing and resource instability.
Research and recommend cost effective alternatives to care, as appropriate.
Engage the case management process and best practices to guide client service delivery to include assessments, documentation, planning, implementation, education, advocacy, and evaluation.
Evaluate actual outcomes, as well as desired outcomes and adjust Care Management Plan interventions accordingly to maximize health and goal achievement potential.
Facilitate communication between community-based providers, insurance carriers, the multidisciplinary team and supports required by the client.
Coordinate quarterly on-site visitations as well as convening and attending multidisciplinary team meetings, and maintaining periodic, regular contact with clients and other members of the health care team.
Complete timely documentation of care management activities in multiple electronic databases, maintaining confidentiality of PHI in all settings.